Individual
REBECCA COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2845 N ALPHA ST, KINGMAN, AZ 86401-5352
(562) 253-4468
Mailing address
2845 N ALPHA ST, KINGMAN, AZ 86401-5352
(562) 253-4468
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T032111
AZ
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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