Individual
GAYLE EILEEN CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
2360 HIGHWAY 95, BULLHEAD CITY, AZ 86442-7303
(928) 763-5858
(928) 763-0972
Mailing address
3326 N BRYCE RD, GOLDEN VALLEY, AZ 86413-9215
(928) 565-2789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S14092
AZ
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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