Individual
ILLYRA VOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
6690 W UNION HILLS DR, GLENDALE, AZ 85308-1011
(623) 561-5319
Mailing address
533 W SAINT JOHN RD, PHOENIX, AZ 85023-6579
(602) 999-4067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024200
AZ
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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