Gary Simmons

NPI #1144761461 in Peridot, Arizona

Provider Information

NPI Number: 1144761461
Entity Type: Individual
Name: Gary Simmons
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 20, 2017
Last Updated: Mar 20, 2017

Practice Location

Address: 103 MEDICINE WAY
City: Peridot
State: Arizona
ZIP Code: 85542
Phone: (928) 475-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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