JULIAN SOUTHERLAND

KINGMAN, AZ
NPI1316002074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  10406)
Enumeration Date2006-12-23
Last Update Date2007-07-08
Business Address
-- JULIAN SOUTHERLAND RPh
3269 STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-0618
Mailing Address
-- JULIAN SOUTHERLAND RPh
996 E STORM CLOUD DR
KINGMAN, AZ 86409-1103
Phone number: 928-757-9734
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