Individual
MR. KEVIN GEORGE MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2350 MIRACLE MILE, BULLHEAD CITY, AZ 86442-7505
(928) 758-2212
(728) 763-5919
Mailing address
1922 HAVASUPAI DR, BULLHEAD CITY, AZ 86442-7512
(928) 219-0233
(928) 763-5919
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S014612
AZ
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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