Individual
AUSTIN VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 289-2759
(928) 283-2758
Mailing address
3850 N FANNING DR UNIT F2, FLAGSTAFF, AZ 86004-2288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP450511
PA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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