Individual
LATECIA MARIE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8245 W THOMAS RD, PHOENIX, AZ 85033-4722
(623) 849-1940
Mailing address
9825 N 70TH ST, SCOTTSDALE, AZ 85253-1483
(623) 255-0906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023585
AZ
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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