Individual
DR. LAURIE ANN HENEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
275 N TEGNER ST, WICKENBURG, AZ 85390-2415
(928) 684-2726
Mailing address
4765 W LUPINE AVE, GLENDALE, AZ 85304-2811
(602) 334-8094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016933
AZ
Other
Enumeration date
06/01/2022
Last updated
07/09/2022
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