Individual
MRS. LISA DENISE FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 239-4555
Mailing address
12637 N 49TH AVE, GLENDALE, AZ 85304-2001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14149
AZ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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