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Individual

MR. KEITH J ADCOCK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
CCHCF PHARMACY, 1 MILE N OF HWY 191, CHINLE, AZ 86503
(928) 647-7036
Mailing address
PO BOX 2883, CHINLE, AZ 86503-2883

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006060
NM

Other

Enumeration date
06/20/2005
Last updated
07/08/2007
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