Individual
LISA MARIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2737 E MCKELLIPS RD, MESA, AZ 85213-3016
(480) 835-0970
Mailing address
32288 N MARGARET WAY, SAN TAN VALLEY, AZ 85142-6705
(602) 769-1304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019659
AZ
Other
Enumeration date
06/23/2013
Last updated
06/23/2013
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