Individual
ELIZABETH JEAN ETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2371 E GUADALUPE RD, GILBERT, AZ 85234-5113
(480) 507-5399
Mailing address
2371 E GUADALUPE RD, GILBERT, AZ 85234-5113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022700
AZ
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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