Individual
KAYLA SHAYE DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4545 N HUNT HWY, FLORENCE, AZ 85132-6937
(520) 509-2759
Mailing address
4545 N HUNT HWY, FLORENCE, AZ 85132-6937
(520) 509-2700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025266
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S025266
PHARMACIST LICENSE
AZ
Enumeration date
11/24/2022
Last updated
03/18/2024
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