Individual
MRS. LISA B PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6202 S 16TH ST, PHOENIX, AZ 85042-4434
(602) 268-0634
Mailing address
6202 S 16TH ST, PHOENIX, AZ 85042-4434
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
SO13154
AZ
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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