Individual
MARK WOODBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1224 E LOWELL ST, TUCSON, AZ 85721-0095
(520) 621-6516
Mailing address
1224 E LOWELL ST, TUCSON, AZ 85721-0095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S12314
AZ
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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