Individual
MS. ELENA TRACEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
730 E MCKELLIPS RD, MESA, AZ 85203-2537
(480) 964-9427
(480) 964-9430
Mailing address
730 E MCKELLIPS RD, MESA, AZ 85203-2537
(480) 964-9427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP031136L
PA
183500000X
Pharmacist
Primary
S009553
AZ
Other
Enumeration date
01/19/2014
Last updated
01/19/2014
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