Most Relevant Information
Provider Data
NPI Number: | 1003495177 |
Provider Name: | MARIA ROSALIE G ABAD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | S025125 |
Most Important Dates
Enumeration Date: | 04/06/2021 |
Last Updated: | 04/06/2021 |
Provider Practice Location
25 LAKE HAVASU AVE S
LAKE HAVASU CITY
AZ
864036565
Practice Location Phone/Fax
Phone: | 9284532808 |
Fax: |
Provider Mailing Location
25 LAKE HAVASU AVE S
LAKE HAVASU CITY
AZ
864036565
Provider Mailing Phone/Fax
Phone: | |
Fax: |