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Individual

AMANDA L COLISTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
500 N HIGHWAY 90 BYP, SIERRA VISTA, AZ 85635-2204
(520) 458-9690
Mailing address
4650 N CENTRAL AVE UNIT 439, PHOENIX, AZ 85012-1091
(623) 227-7939

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024845
AZ

Other

Enumeration date
12/02/2020
Last updated
12/02/2020
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