Individual
LILY LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2727 N POWER RD, MESA, AZ 85215-1681
(480) 396-3838
(480) 641-2961
Mailing address
2727 N POWER RD, MESA, AZ 85215-1681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11816
AZ
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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