Individual
DOUGLAS GEORGE AKOVENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
475 W FINNIE FLATS RD, CAMP VERDE, AZ 86322-7398
(928) 239-3187
Mailing address
475 W FINNIE FLATS RD, CAMP VERDE, AZ 86322-7398
(928) 239-3187
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017602
AZ
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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