Individual
MALLY GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
18460 N 7TH ST, PHOENIX, AZ 85022-1108
(602) 993-5781
Mailing address
4110 W EVA ST, PHOENIX, AZ 85051-3241
(520) 979-4566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S025283
AZ
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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