Individual
MARK LARRABEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
18551 N 83RD AVE, GLENDALE, AZ 85308-0501
(623) 825-7978
Mailing address
18551 N 83RD AVE, GLENDALE, AZ 85308-0501
(623) 825-7978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15791
AZ
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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