MEDICARE: TANYA AFRIN LASKER RPH

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
1	183500000X	Pharmacist	S025632	AZ

General Provider Information

NPI Number	:	1124787213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA AFRIN LASKER RPH

Provider Business Mailing Address
First Line	:	1130 W SOUTHERN AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4993
Country	:	US
Telephone Number	:	480-461-1193
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 W SOUTHERN AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4993
Country	:	US
Telephone Number	:	480-461-1193
Fax Number	:	480-461-1272

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	01/16/2025

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Directions to “ TANYA AFRIN LASKER RPH” Practice Location

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