Individual
MOLLEY KAY GRANBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9950 E GUADALUPE RD, MESA, AZ 85212-2135
(480) 354-3758
Mailing address
544 N ALMA SCHOOL RD UNIT 8, MESA, AZ 85201-5474
(520) 234-3537
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023337
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S023337
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
08/23/2018
Last updated
08/23/2018
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