Organization
GILBERT PHARMACY
Active
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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