Individual
JENNA MARIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11275 E VIA LINDA, SCOTTSDALE, AZ 85259-4073
(480) 451-1177
(480) 614-1214
Mailing address
11275 E VIA LINDA, SCOTTSDALE, AZ 85259-4073
(480) 451-1177
(480) 614-1214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017243
AZ
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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