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1356802136
FERNANDO LARA HERNANDEZ
MESA, AZ
NPI
1356802136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S023721)
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
FERNANDO LARA HERNANDEZ PharmD
1305 S GREENFIELD RD
MESA, AZ 85206-3303
Phone number: 480-830-9266
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Mailing Address
FERNANDO LARA HERNANDEZ PharmD
12605 W PARADISE DR
EL MIRAGE, AZ 85335-7326
Phone number: 623-418-4782
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