| Lourens Rasmus Botha, | |
|
1613 N Main Street, San Luis, AZ 85349 | |
| (928) 722-7288 | |
| Not Available |
| Full Name | Lourens Rasmus Botha |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1613 N Main Street, San Luis, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033644372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | S015983 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lourens Rasmus Botha, 3882 S Tillman Way, Yuma, AZ 85365-6715 Ph: (928) 581-0703 | Lourens Rasmus Botha, 1613 N Main Street, San Luis, AZ 85349 Ph: (928) 722-7288 |
Gerardo Garcia, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1613 N Main St, San Luis, AZ 85349 Phone: 928-722-7288 Fax: 928-722-7288 | |
Jason Cyril Patron, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1613 N Main St, San Luis, AZ 85336 Phone: 928-722-7288 Fax: 928-722-7290 | |
Mrs. Dianna Marie Faidley, R.PH., CDM Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 815 E. Juan Sanchez Blvd., San Luis, AZ 85349 Phone: 928-373-5757 Fax: 928-373-5757 | |
Matt Martin, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1613 North Main Street, San Luis, AZ 85349 Phone: 928-722-7288 | |
Jeffrey Mercado, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 815 E Cesar Chavez Blvd, San Luis, AZ 85349 Phone: 928-373-5757 |