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Individual

ASHLEY SWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
1490 COPPER CANYON DR, PRESCOTT, AZ 86303-7819
(928) 848-1450

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023044
AZ

Other

Enumeration date
01/11/2018
Last updated
07/02/2019
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