KYLE JORDAN LANHAM

PRESCOTT, AZ
NPI1770255838
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3336C0003X Pharmacy Community/Retail Pharmacy
(Licence: AZ  S025465)
Enumeration Date2021-09-28
Last Update Date2021-09-28
Business Address
DR. KYLE JORDAN LANHAM PHARMD
901 WILLOW LAKE RD
PRESCOTT, AZ 86301-4617
Phone number: 928-771-0278
Mailing Address
DR. KYLE JORDAN LANHAM PHARMD
15457 W SHANGRI LA RD
SURPRISE, AZ 85379-5387
Phone number: 850-737-1168
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