Individual
LAUREN ROOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 936-2363
Mailing address
455 S RECKER RD APT 2046, GILBERT, AZ 85296-1216
(803) 397-7116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S023005
AZ
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
S023005
AZ
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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