Individual
MARK GIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3440 W GLENDALE AVE, PHOENIX, AZ 85051-8323
(602) 336-4590
Mailing address
3440 W GLENDALE AVE, PHOENIX, AZ 85051-8323
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S016317
AZ
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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