Individual
KATELYN MARIE FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
25 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-6565
(928) 453-2808
Mailing address
25 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-6565
(928) 453-2808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026596
AZ
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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