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1275033227
AYAD COSTY
LAKE HAVASU CITY, AZ
NPI
1275033227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S022625)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
Mr. AYAD COSTY
75 NORTH LAKE HAVASU CITY
LAKE HAVASU CITY, AZ 86403
Phone number: 928-854-6300
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Mailing Address
Mr. AYAD COSTY
75 LAKE HAVASU AVE N
LAKE HAVASU CITY, AZ 86403-5651
Phone number:
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