Individual
BRENT MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 S AVENUE B, YUMA, AZ 85364-7734
(928) 317-6863
Mailing address
11626 S PRESCOTT AVE, YUMA, AZ 85365-6848
(623) 258-1639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S007806
AZ
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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