Jared Mason Gillingham

NPI #1285115105 in Surprise, Arizona

Provider Information

NPI Number
1285115105
Entity Type
Individual
Name
Jared Mason Gillingham
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Aug 28, 2018
Last Updated
Aug 28, 2018

Practice Location

Address
19505 N SUNRISE BLVD # SURPRISE
State
Arizona
ZIP Code
85374-4739
Phone
(623) 556-4778

Specialties & Taxonomy Codes

Specialty
Pharmacist

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