NPI | 1578976924 |
---|---|
Other Name | GILBERT |
Entity Type | Organization |
Authorized Contact | CLAUDIA GRIJALVA Credentialing 623-516-8252 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2014-06-03 |
Last Update Date | 2014-06-03 |