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Individual

MARK LABASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.,RPH

Contact information

Practice address
167 N MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2754
Mailing address
6311 N 14TH PL, PHOENIX, AZ 85014-1461
(623) 680-8613

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013783
AZ

Other

Enumeration date
11/09/2023
Last updated
11/09/2023
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