Individual
ALISABETH KELLY IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8600
Mailing address
1865 MOORHOUSE ST, FERNDALE, MI 48220-1193
(803) 608-4261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302415360
MI
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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