Whalio Doctors

NPI 1063558005

William Daniel Laster, PHARMD

Practitioner Pharmacist Winslow, AZ

Practice location

Address
500 Indiana Ave, Winslow, AZ 86047-2169
Phone
(928) 289-6118
Fax
(928) 289-6293
Mailing address
712 N Berry Ave, Winslow, AZ 86047-3433

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 14857 (AL)

Registry record

NPI
1063558005
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jan 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.