Organization
GONZALEZ PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE GABRIEL KAISHAR (OWNER/PHARMACY TECH)
(818) 621-9586
Entity
Organization
Contact information
Practice address
1240 N HACIENDA BLVD, 105, LA PUENTE, CA 91744-1662
(626) 918-4300
(626) 918-4500
Mailing address
1240 N HACIENDA BLVD, 105, LA PUENTE, CA 91744-1662
(626) 918-4300
(626) 918-4500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
38459
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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