Individual
MR. FREDRICK SCOTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
500 W 10TH PL, MESA, AZ 85201-3216
(480) 827-9410
Mailing address
PO BOX 6282, PEORIA, AZ 85385-6282
(602) 573-6632
(623) 266-6975
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T002199
AZ
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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