Individual
ELIZABETH GADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6739 W CACTUS RD, PEORIA, AZ 85381-5311
(623) 334-3611
Mailing address
19635 N CAVE CREEK RD, APT 333, PHOENIX, AZ 85024-2498
(602) 290-7412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020079
AZ
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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