Individual
DR. JOHN GLENN IVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
167 N, MAIN ST, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
12003 S 44TH ST, PHOENIX, AZ 85044-2434
(480) 540-2016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8110
AZ
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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