Individual
MICHAEL JOSEPH GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9043 W OLIVE AVE, PEORIA, AZ 85345-7049
(623) 979-1383
Mailing address
17435 N 56TH AVE, GLENDALE, AZ 85308-3814
(602) 481-3462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021383
AZ
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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