Individual
LILY ANN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
5605 W NORTHERN AVE, GLENDALE, AZ 85301-1332
(623) 934-7926
(623) 934-7929
Mailing address
29315 N 140TH ST, SCOTTSDALE, AZ 85262-5505
(602) 618-1616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03994
NM
183500000X
Pharmacist
Primary
08277
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03994
REGISTERED PHARMACIST
NM
01
—
08277
REGISTERED PHARMACIST
AZ
Enumeration date
01/21/2014
Last updated
01/21/2014
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