Individual
KATHRYN R FROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3347 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2283
(928) 775-2878
Mailing address
3347 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2283
(928) 775-2878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018611
AZ
Other
Enumeration date
09/20/2011
Last updated
03/26/2014
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