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NPI Code Detail

MEDICARE: WEN-LI LAO PHARMD

MEDICARE: WEN-LI LAO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistS018222AZ

General Provider Information

NPI Number : 1659681526
Entity Type Code : Individual
Provider Name (Legal Business Name) : WEN-LI LAO PHARMD
Provider Business Mailing Address
First Line : 1415 W RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1415 W RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5829
Country : US
Telephone Number : 520-293-2995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2010
Last Update Date : 10/13/2010

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Directions to “ WEN-LI LAO PHARMD” Practice Location

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