Individual
ERIC ALLAN BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-2516
Mailing address
1460 E PASEO PAVON, TUCSON, AZ 85718-2816
(520) 229-1243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S010280
AZ
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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