EZEKIEL KEERENG KESITILWE

LAKE HAVASU CITY, AZ
NPI1871001248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy333600000X Pharmacy
(Licence: AZ  s013695)
Enumeration Date2018-01-18
Last Update Date2018-01-18
Business Address
Dr. EZEKIEL KEERENG KESITILWE PharmD
1980 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403-0969
Phone number: 928-854-8281
Mailing Address
Dr. EZEKIEL KEERENG KESITILWE PharmD
2734 PASEO VERDE
LAKE HAVASU CITY, AZ 86406-7748
Phone number: 928-230-9812