Individual
MRS. KATHLEEN SHAY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2526
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12012
AZ
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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