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Individual

LISA TOMIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
5324 E WASHINGTON ST BLDG A, PHOENIX, AZ 85034-2144
(602) 732-3384
Mailing address
2925 E ROBIN LN, GILBERT, AZ 85296-9426
(480) 813-4253

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03127330
OH
183500000X
Pharmacist
051295628
IL
183500000X
Pharmacist
26022139A
IN
183500000X
Pharmacist
Primary
S019014
AZ

Other

Enumeration date
08/26/2012
Last updated
08/26/2012
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