Individual
LAURAN TAYLOR PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
20266 N LAKE PLEASANT RD, PEORIA, AZ 85382-9711
(623) 561-5422
Mailing address
20266 N LAKE PLEASANT RD, PEORIA, AZ 85382-9711
(623) 561-5422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026073
AZ
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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