Individual
MRS. LISA MARIE CANNOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6625 W HAPPY VALLEY RD, GLENDALE, AZ 85310-2617
(623) 561-5092
Mailing address
6630 W BRILES RD, PHOENIX, AZ 85083-1041
(623) 376-0261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S011389
AZ
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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