MRS. Elaine Evelyn Gage-Gonzalez, RPH

NPI #1407161284 in Lytle, Texas

Provider Information

NPI Number: 1407161284
Entity Type: Individual
Name: MRS. Elaine Evelyn Gage-Gonzalez, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Aug 17, 2010
Last Updated: Aug 17, 2010

Practice Location

Address: 19565 IH 35 S
City: Lytle
State: Texas
ZIP Code: 78052
Phone: (830) 772-4360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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