Individual
DR. MICAELA POMMERENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3050 E AZ 69, PRESCOTT, AZ 86301
(928) 445-1113
Mailing address
2905 LEONITA CT, PRESCOTT, AZ 86301-7443
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
S023115
AZ
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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