Individual
DR. LUCAS NYABERO KIMANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10450 N 90TH ST, SCOTTSDALE, AZ 85258-4406
(480) 661-0238
(480) 391-3076
Mailing address
9718 E GELDING DR, SCOTTSDALE, AZ 85260-3883
(206) 605-6643
(480) 445-9078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S16395
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S16395
PHARMACIST LICENCE NUMBER
AZ
Enumeration date
10/14/2009
Last updated
10/15/2009
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