Individual
LINDA GAYNELL LAZARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1310 WILLOW CREEK RD, PRESCOTT, AZ 86301-1492
(928) 227-9965
Mailing address
1301 N KETTLE HILL RD, PRESCOTT VALLEY, AZ 86314-1415
(928) 772-3362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15252
AZ
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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