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Individual

DR. MARICELA LARA-NEVAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
1234 LAKESHORE DR STE 200, COPPELL, TX 75019-4980
(972) 538-8148
(866) 770-6421
Mailing address
1234 LAKESHORE DR STE 200, COPPELL, TX 75019-4980
(972) 538-8148
(866) 770-6421

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
42276
TX

Other

Enumeration date
09/22/2009
Last updated
09/22/2009
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