NATHANIEL LAZAN

PEORIA, AZ
NPI1588135867
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  S023282)
Enumeration Date2018-12-11
Last Update Date2018-12-11
Business Address
NATHANIEL LAZAN
8332 W THUNDERBIRD RD
PEORIA, AZ 85381-4822
Phone number: 623-776-3006
Mailing Address
NATHANIEL LAZAN
8332 W THUNDERBIRD RD
PEORIA, AZ 85381-4822
Phone number:
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