Lourens Rasmus Botha

NPI #1033644372 in San Luis, Arizona

Provider Information

NPI Number
1033644372
Entity Type
Individual
Name
Lourens Rasmus Botha
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Apr 24, 2017
Last Updated
Apr 27, 2017

Practice Location

Address
1613 N MAIN STREET
State
Arizona
ZIP Code
85349
Phone
(928) 722-7288

Specialties & Taxonomy Codes

Specialty
Pharmacist

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