Organization
OEDIV CORP.
Active
Other names
Uptown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GILBERT (PRESIDENT)
(602) 274-9956
Entity
Organization
Contact information
Practice address
5007 N CENTRAL AVE, PHOENIX, AZ 85012-1520
(602) 274-9956
(602) 241-0104
Mailing address
5007 N CENTRAL AVE, PHOENIX, AZ 85012-1520
(602) 274-9956
(602) 241-0104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3622
AZ
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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