Individual
MARL AYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
349 E AVENUE K6, LANCASTER, CA 93535-4508
(661) 723-4260
(661) 723-6975
Mailing address
27715 THALIA LN, CANYON COUNTRY, CA 91351-3410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
80993
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
80993
CA
1835P1300X
Psychiatric Pharmacist
80993
CA
1835P2201X
Ambulatory Care Pharmacist
80993
CA
Other
Enumeration date
01/27/2020
Last updated
12/14/2021
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