Individual
LYLE DANIEL BRAUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8021 N 35TH AVE, PHOENIX, AZ 85051-5867
(602) 242-9570
Mailing address
8021 N 35TH AVE, PHOENIX, AZ 85051-5867
(602) 242-9570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013725
AZ
Other
Enumeration date
10/03/2009
Last updated
12/15/2014
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