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>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1801353560

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
Tel: 928-724-3643  Fax: --

Contact information for business:
PO BOX B005  TSAILE, AZ 86556-5044 US
Tel: 615-801-2441  Fax: --

Registration Information:
NPI: 1801353560
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers

Legacy codes, insurance codes and state license numbers:



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