Individual
DUANN MCILVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4720 W PALO VERDE AVE, GLENDALE, AZ 85302-3633
(623) 748-3556
Mailing address
4720 W PALO VERDE AVE, GLENDALE, AZ 85302-3633
(623) 748-3556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12722
OK
183500000X
Pharmacist
39165
TX
183500000X
Pharmacist
S016532
AZ
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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