Individual
MRS. MONTRA ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 E WETMORE RD, TUCSON, AZ 85705-1743
(520) 887-7007
Mailing address
5326 N ENTRADA DE SABINO, TUCSON, AZ 85750-6400
(520) 495-8138
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015154
AZ
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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