Individual
LANCE SANDLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
222 GRACE AVE, PRESCOTT, AZ 86303-3439
(928) 533-8846
Mailing address
222 GRACE AVE, PRESCOTT, AZ 86303-3439
(928) 533-8846
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S006324
AZ
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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