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Organization

GILBERT PHARMACY

Active
Parent organization
EUREKA IMPERIAL RESIDENCE
Other names
GILBERT PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
EUREKA IMPERIAL RESIDENCE
Authorized official
CORNELIUS EBAI TANYI (HEAD PHARMACIST)
(480) 375-5192
Entity
Organization

Contact information

Practice address
633 E RAY RD BLDG 1, GILBERT, AZ 85296-4202
(480) 375-5192
Mailing address
633 E RAY RD BLDG 1, GILBERT, AZ 85296-4202

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
01/31/2018
Last updated
01/31/2018
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