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Organization

ELK RIDGE GRAND CANYON PHARMACY

Active
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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
1 CLINIC RD, GRAND CANYON, AZ 86023-0290
(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
05/26/2026
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