Individual
ALAN ITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
KA-2010 HWY-163, KAYENTA, AZ 86033-0368
(928) 697-4165
Mailing address
KA-2010 HWY-163, KAYENTA, AZ 86033
(928) 697-4305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
370
VI
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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