Individual
DR. ALYSSA CAITLIN SHANOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-4556
Mailing address
1701 E COLTER ST UNIT 164, PHOENIX, AZ 85016-3371
(480) 577-1591
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018558
AZ
Other
Enumeration date
11/08/2011
Last updated
11/14/2012
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