| NPI | 1831546936 |
|---|---|
| Doing Business As | GAVILAN PEAK |
| Entity Type | Organization |
| Authorized Contact | TAMMY WILSON Practice Manager 623-434-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AZ 13446) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |