GARY YUSUPOV

PHOENIX, AZ
NPI1649557117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  s018745)
Enumeration Date2011-11-10
Last Update Date2011-11-10
Business Address
-- GARY YUSUPOV
1620 N 59TH AVE
PHOENIX, AZ 85035-4985
Phone number: 623-849-2084
Mailing Address
-- GARY YUSUPOV
4895 E RUSSELL RD APT 205
LAS VEGAS, NV 89120-2398
Phone number: