Individual
DR. CAROLINE JOAN LIDDICOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3511 W PEORIA AVE, PHOENIX, AZ 85029-4037
(602) 866-5453
Mailing address
7830 W MCRAE WAY, GLENDALE, AZ 85308-5923
(602) 549-8490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016821
AZ
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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