Individual
JEFFREY LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
24416 N 19TH AVE, PHOENIX, AZ 85085-1887
(877) 546-5779
Mailing address
24416 N 19TH AVE, PHOENIX, AZ 85085-1887
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S027684
AZ
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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