Individual
MARTHA ANN GANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7055 E BROADWAY BLVD, TUCSON, AZ 85710-2804
(520) 546-6535
Mailing address
2555 E EDISON ST, TUCSON, AZ 85716-2701
(520) 780-8601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S007228
AZ
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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