Organization
ELK RIDGE GRAND CANYON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVA A GONZALEZ (PHARMACY COOORDINATOR)
(520) 670-3813
Entity
Organization
Contact information
Practice address
450 W PASEO REDONDO, TUCSON, AZ 85701-8274
(520) 670-3909
Mailing address
1 CLINIC RD, GRAND CANYON, AZ 86023-0290
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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