Individual
KELLIE LEIGH FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-5616
(480) 412-8763
Mailing address
4098 E MORRISON RANCH PKWY, GILBERT, AZ 85296-3091
(480) 412-5616
(480) 412-8763
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13815
AZ
Other
Enumeration date
02/26/2007
Last updated
01/18/2017
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