MEDICARE: ALLYSON J LAUWERS PHARM-D, 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	14911	AZ

General Provider Information

NPI Number	:	1518911056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON J LAUWERS PHARM-D, RPH

Provider Business Mailing Address
First Line	:	7206 E LINDNER AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-4988
Country	:	US
Telephone Number	:	480-654-8851
Fax Number	:

Provider Business Practice Location Address
First Line	:	8335 E GUADALUPE RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-9630
Country	:	US
Telephone Number	:	480-357-9583
Fax Number	:	480-357-9781

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/08/2007

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