Individual
MARNI LUECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15009 S 40TH WAY, PHOENIX, AZ 85044-6790
(480) 704-5292
Mailing address
15009 S 40TH WAY, PHOENIX, AZ 85044-6790
(480) 704-5292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10693
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10693
STATE PHARMACY LICENSE
AZ
Enumeration date
02/06/2007
Last updated
07/08/2007
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