Provider Demographics
NPI:1619770575
Name:SEHMAN, MARINA LAIRSON (PHARMD)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:LAIRSON
Last Name:SEHMAN
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 1:16405 E CRYSTAL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-8413
Mailing Address - Country:US
Mailing Address - Phone:480-620-8511
Mailing Address - Fax:
Practice Address - Street 1:16405 E CRYSTAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-8413
Practice Address - Country:US
Practice Address - Phone:480-620-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist