Healthcare Provider Details

I. General information

NPI: 1619770575
Provider Name (Legal Business Name): MARINA LAIRSON SEHMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16405 E CRYSTAL RIDGE DR
FOUNTAIN HILLS AZ
85268-8413
US

IV. Provider business mailing address

16405 E CRYSTAL RIDGE DR
FOUNTAIN HILLS AZ
85268-8413
US

V. Phone/Fax

Practice location:
  • Phone: 480-620-8511
  • Fax:
Mailing address:
  • Phone: 480-620-8511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13461
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: