Individual
JOHN GENDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10205 TUDOR AVE, MONTCLAIR, CA 91763-3720
(347) 596-1012
Mailing address
10205 TUDOR AVE, MONTCLAIR, CA 91763-3720
(347) 596-1012
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
74410
CA
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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