Individual
MRS. ELIZABETH N IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2930 N 67TH AVE, PHOENIX, AZ 85033-5610
(623) 849-6991
Mailing address
15315 W CAMPBELL AVE, GOODYEAR, AZ 85395-6372
(623) 836-5736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016409
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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