Individual
MR. ALEX GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT.
Contact information
Practice address
839 W. CALLE CHICO, NOGALES, AZ 85621
(520) 223-5393
Mailing address
450 N GRAND COURT PLZ, NOGALES, AZ 85621-2748
(520) 287-3984
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4525
AZ
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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