Individual
GREGORY POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15215 N COTTON LN, SURPRISE, AZ 85388-9607
(623) 455-7902
(623) 455-7903
Mailing address
15215 N COTTON LN, SURPRISE, AZ 85388-9607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015351
AZ
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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