Individual
JEFFREY HANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3347 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2283
(928) 499-3198
Mailing address
802 WHETSTINE AVE, PRESCOTT, AZ 86301-1422
(928) 583-4781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11674
AZ
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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