Organization
REEHS ARIZONA LLC
Active
Other names
SPRING VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA ELAINE HICKS RPH (PHARMACIST/OWNER)
(928) 830-9393
Entity
Organization
Contact information
Practice address
17301 E SPRING VALLEY RD STE B, MAYER, AZ 86333-4263
(928) 830-9393
Mailing address
38803 N COURAGE CT, ANTHEM, AZ 85086-2791
(928) 830-9393
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
Y006537
AZ
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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