Individual
ELISE ALMAGAMBETOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3911 E STATE ROUTE 69, PRESCOTT, AZ 86301-6717
(928) 541-2218
(928) 541-2257
Mailing address
3911 E STATE ROUTE 69, PRESCOTT, AZ 86301-6717
(928) 541-2218
(928) 541-2257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0097311
VT
183500000X
Pharmacist
058328
NY
183500000X
Pharmacist
Primary
S021217
AZ
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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