Individual
MR. JUSTIN RUSSELL DOROTHEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
WINSLOW INDIAN HEALTHCARE CENTER (PHARMACY DEPT.), 500 INDIANA AVE, WINSLOW, AZ 86047-7403
(928) 289-6215
(928) 289-6293
Mailing address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS55417
FL
183500000X
Pharmacist
PSI29655
FL
183500000X
Pharmacist
Primary
S024359
AZ
Other
Enumeration date
01/15/2016
Last updated
05/15/2026
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