Individual
MAKENNA URAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 S SOSSAMAN RD, MESA, AZ 85209-3400
(480) 333-6550
Mailing address
45 E 9TH PL UNIT 75, MESA, AZ 85201-4339
(951) 515-8521
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024715
AZ
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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