Individual
AMY FILHART BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
8332 W THUNDERBIRD RD, PEORIA, AZ 85381-4822
(623) 776-3006
Mailing address
PO BOX 744, PEORIA, AZ 85380-0744
(623) 486-5536
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302027914
MI
183500000X
Pharmacist
Primary
S10126
AZ
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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