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JODIE L. SCOTT R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1740333087

Individual Registrant:
 JODIE L. SCOTT R.PH.
Gender: F
Sole Proprietor

Location and contact information for practice:
2841 HWY 260 SUITE 4 OVERGAARD, AZ 85933-2019 US
Tel: 928-535-6626  Fax: --

Contact information for business:
1470 W RODEO RD  SNOWFLAKE, AZ 85937-5602 US
Tel: 928-536-3797  Fax: --

Registration Information:
NPI: 1740333087
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZ8767

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
122862AZ05
NABP #0322949AZ01




HEALTH CARE JOBS AZ - Page 1



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