Individual
ELMER ADRIAN MARES MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
80 ACOMA BLVD N, LAKE HAVASU CITY, AZ 86403-6932
(928) 680-7277
Mailing address
8201 W GLENROSA AVE, PHOENIX, AZ 85033-2313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022990
AZ
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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