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Individual

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Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7552 INDIAN SCHOOL RD, SCOTTSDALE, AZ 85251
(480) 945-6660
Mailing address
7552 E INDIAN SCHOOL RD, SCOTTSDALE, AZ 85251-3918
(480) 946-6660

Taxonomy

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

Other

Enumeration date
06/05/2015
Last updated
06/05/2015
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