Provider Demographics
NPI:1356635742
Name:GENTON, ELIZABETH ANNE (PHARMD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:GENTON
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7373 N SCOTTSDALE RD STE B160
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-3537
Mailing Address - Country:US
Mailing Address - Phone:602-898-5450
Mailing Address - Fax:602-898-5450
Practice Address - Street 1:7373 N SCOTTSDALE RD STE B160
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3537
Practice Address - Country:US
Practice Address - Phone:602-898-5450
Practice Address - Fax:602-898-5450
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26594183500000X
AZS026273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist