ANN MELLENCAMP

PRESCOTT, AZ
NPI1386945897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  8584)
Enumeration Date2010-11-15
Last Update Date2010-11-15
Business Address
-- ANN MELLENCAMP rph
450 WHITE SPAR RD
PRESCOTT, AZ 86303-4626
Phone number: 928-778-3098
Mailing Address
-- ANN MELLENCAMP rph
450 WHITE SPAR RD
PRESCOTT, AZ 86303-4626
Phone number: 928-778-3098
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