Individual
DANIEL JAY LUTTRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3487 STOCKTON HILL RD, KINGMAN, AZ 86409-3681
(928) 692-1822
(928) 692-6404
Mailing address
3487 STOCKTON HILL RD, KINGMAN, AZ 86409-3681
(928) 692-1822
(928) 692-6404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
17515
NV
183500000X
Pharmacist
Primary
S017026
AZ
Other
Enumeration date
01/15/2010
Last updated
02/01/2011
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