Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOURENS RASMUS BOTHA
ActivePharmacist · SAN LUIS, AZ
Registration Details
- NPI Number
- 1033644372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2017 (9.0118029103041 yrs)
- Last Updated
- Apr 27, 2017
- License
-
S015983 (AZ)
Practice Information
- Address
-
1613 N MAIN STREETSAN LUIS, AZ, 85349Browse AZ providers · Browse ZIP 85349
- Phone
- 9287227288
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in SAN LUIS, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. DIANNA MARIE FAIDLEY | R.PH., CDM | 1689883530 |
| JASON CYRIL PATRON | PHARMD | 1568739258 |
| MATT MARTIN | — | 1851714646 |
| GERARDO GARCIA | — | 1134542921 |
| JEFFREY MERCADO | PHARMD | 1861019275 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.