Individual
MR. AYAD COSTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 NORTH LAKE HAVASU CITY, LAKE HAVASU CITY, AZ 86403
(928) 854-6300
Mailing address
75 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86403-5651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022625
AZ
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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