Organization
GIMO PHARMACUETICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI CHE (PHARMACIST)
(480) 825-8566
Entity
Organization
Contact information
Practice address
12809 W INDIANOLA AVE, AVONDALE, AZ 85392-6723
(480) 825-8566
Mailing address
12809 W INDIANOLA AVE, AVONDALE, AZ 85392-6723
(480) 825-8566
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
S014885
AZ
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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