Individual
BRUCE CELIZ-HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
2601 E HUNTINGTON DR, FLAGSTAFF, AZ 86004-8927
(928) 774-3415
(928) 774-3415
Mailing address
2601 E HUNTINGTON DR, FLAGSTAFF, AZ 86004-8927
(928) 774-3415
(928) 774-3415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S11396
AZ
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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