Individual
MARY LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 561-5092
Mailing address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022080
AZ
Other
Enumeration date
08/19/2016
Last updated
12/02/2016
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