Provider Demographics
NPI:1386770220
Name:WILMETH, ELIZABETH PHILPOTT (RPH)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:PHILPOTT
Last Name:WILMETH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11027 E BECKER LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-6960
Mailing Address - Country:US
Mailing Address - Phone:602-288-8973
Mailing Address - Fax:480-314-6376
Practice Address - Street 1:9501 E SHEA BLVD
Practice Address - Street 2:MC-139
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6719
Practice Address - Country:US
Practice Address - Phone:480-391-4746
Practice Address - Fax:480-314-6376
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30913183500000X
AZ13843183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist