Individual
NATHANIEL STIFFARM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 W HOSPITAL DR, WHITERIVER, AZ 85941
(928) 338-3502
Mailing address
200 W HOSPITAL DR, WHITERIVER, AZ 85941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4961467
ID
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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