Individual
ANN LOUISE GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD RPH
Contact information
Practice address
4212 N 16TH ST, PHARMACY, PHOENIX, AZ 85016-5319
(602) 263-1664
Mailing address
3735 W HELENA DR, GLENDALE, AZ 85308-3105
(602) 843-1207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP045581L
PA
Other
Enumeration date
09/16/2005
Last updated
07/08/2007
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