Individual
COURTNEY WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W JEFFERSON ST, PHOENIX, AZ 85003-2321
(602) 296-7611
Mailing address
50 W JEFFERSON ST, PHOENIX, AZ 85003-2321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016852
AZ
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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