Individual
MICHAEL IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
500 HIGHWAY 89 N., PRESCOTT, AZ 86313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020715
AZ
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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