Provider Demographics
NPI:1164845558
Name:PATE-MOZROLL, AMBER ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:ELIZABETH
Last Name:PATE-MOZROLL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7951 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6346
Mailing Address - Country:US
Mailing Address - Phone:520-469-9563
Mailing Address - Fax:520-469-9565
Practice Address - Street 1:7951 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6346
Practice Address - Country:US
Practice Address - Phone:520-469-9563
Practice Address - Fax:520-469-9565
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS014937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist