Individual
MELISSA GOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
853 S 4TH ST, COTTONWOOD, AZ 86326-4396
(303) 881-3818
Mailing address
853 S 4TH ST, COTTONWOOD, AZ 86326-4396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015309
AZ
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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