Individual
MR. LAURA RICCOBONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21274 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-8952
(520) 568-0672
Mailing address
21274 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-8952
(520) 568-0672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020071
AZ
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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