Individual
MRS. CHARLOTTE ARLA PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1950 EAST FRY, SIERRA VISTA, AZ 85635
(520) 458-5638
(520) 458-5671
Mailing address
1950 E FRY BLVD, SIERRA VISTA, AZ 85635-2705
(520) 458-5638
(520) 458-5671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11457
AZ
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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