Individual
FABRICE AFANYU-LORATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542
(928) 475-1300
(928) 475-7376
Mailing address
103 MEDICINE WAY RD, PERIDOT, AZ 85542
(928) 475-1300
(928) 475-7376
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S022550
AZ
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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