Individual
LAURA WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1500
Mailing address
23027 N 43RD PL, PHOENIX, AZ 85050-8790
(602) 799-9666
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S016664
AZ
Other
Enumeration date
05/18/2010
Last updated
01/05/2017
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