Individual
JERRY GOTTBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5324 E WASHINGTON ST, PHOENIX, AZ 85034-2144
(602) 732-3384
Mailing address
5324 E WASHINGTON ST, PHOENIX, AZ 85034-2144
(602) 732-3384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010987
AZ
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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