Individual
MR. KEITH ELMER LIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 S HARRISON RD, TUCSON, AZ 85748-6650
(520) 296-8427
Mailing address
1145 S HARRISON RD, TUCSON, AZ 85748-6650
(520) 296-8427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7450
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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