Mary Memken

NPI #1659665933 in Fountain Hills, Arizona

Provider Information

NPI Number: 1659665933
Entity Type: Individual
Name: Mary Memken
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 4, 2011
Last Updated: Jun 4, 2011

Practice Location

Address: 16825 E SHEA BLVD
Address 2: #1432
City: Fountain Hills
State: Arizona
ZIP Code: 85268-6668
Phone: (480) 837-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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