Individual
GAYLE E LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PIMC-PNC PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
18155
IA
183500000X
Pharmacist
Primary
S014159
AZ
Other
Enumeration date
11/07/2009
Last updated
09/19/2019
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