Individual
DR. CASANDRA JAYDE KINEMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14200 W FILLMORE ST, GOODYEAR, AZ 85338-3005
(623) 207-3202
(623) 882-8307
Mailing address
14200 W FILLMORE ST, GOODYEAR, AZ 85338-3005
(623) 207-3202
(623) 882-8307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14206
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14206
PHARMACIST LICENSE NUMBER
AZ
Enumeration date
12/16/2006
Last updated
06/14/2012
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