Individual
KATRINA HENRY-BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10641 W OLIVE AVE, PEORIA, AZ 85345-7343
(623) 583-6688
Mailing address
2015 W CACTUS RD APT 188, PHOENIX, AZ 85029-2786
(323) 345-8101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026564
AZ
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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