Individual
LARA NOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
Mailing address
8092 W PARADISE LN APT 1037, PEORIA, AZ 85382-4979
(602) 632-7142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026231
AZ
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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