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Organization

TARGET

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHERINE STEIN PHARMD (ETL RX)
(480) 893-0588
Entity
Organization

Contact information

Practice address
4734 E RAY RD, PHOENIX, AZ 85044-6225
(480) 893-0588
Mailing address
4732 E RAY RD, PHOENIX, AZ 85044
(480) 893-0588

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
S011164
AZ

Other

Enumeration date
11/17/2014
Last updated
11/17/2014
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