Individual
MR. J. LYLE LAMOUREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3100 GLASSFORD HILL ROAD, FRYS FOOD AND DRUGS, PRESCOTT VALLEY, AZ 86314
(928) 445-0607
Mailing address
7290 BUTTE VIS, PRESCOTT VALLEY, AZ 86315-9770
(928) 772-5406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2962
ND
183500000X
Pharmacist
Primary
SO14109
AZ
Other
Enumeration date
03/30/2007
Last updated
06/11/2010
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