Individual
KELLY ODEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 471-1253
Mailing address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 471-1253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025040
AZ
Other
Enumeration date
07/06/2020
Last updated
07/16/2025
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