Individual
JASON LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1300
Mailing address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024245
AZ
Other
Enumeration date
05/01/2020
Last updated
06/14/2020
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