Provider Demographics
NPI:1720403132
Name:LAMARCA, TIARA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIARA
Middle Name:
Last Name:LAMARCA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 S MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-6852
Mailing Address - Country:US
Mailing Address - Phone:480-234-1167
Mailing Address - Fax:
Practice Address - Street 1:20612 N CAVE CREEK RD STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4440
Practice Address - Country:US
Practice Address - Phone:888-617-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019929183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist