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Jaqueline Lizarraga

Pharmacy Technician in Phoenix, AZ. Individual provider (NPI-1).

NPI number1689256166
StatusActive
Last updated in NPPESApr 24, 2021

Details

NPI
1689256166
Entity type
Individual (NPI-1)
Name
Jaqueline Lizarraga
Sex
Female
Sole proprietor
No
Enumeration date
Apr 24, 2021
Certification date
Apr 24, 2021
Last updated
Apr 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy TechnicianT067223AZYes

Practice location

4617 E Bell Rd
Phoenix, AZ 85032-2305

Phone 602-482-5511

Mailing address

16801 N 31st St Apt 102
Phoenix, AZ 85032-2644

Phone 602-413-9889

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