Individual
MS. JILL DIANE GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
FRY'S PHARMACY, 185 W APACHE TRAIL, APACHE JUNCTION, AZ 85220
(480) 288-2143
Mailing address
9344 E HOBART ST, MESA, AZ 85207-4304
(480) 373-8496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8952
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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