AVELLA OF GILBERT, INC.
2450 E Guadalupe Rd Ste 110
Gilbert, AZ 85234
480-633-6934
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 3336S0011X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | AZ | Y005083 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0326721 | OTHER | |
698318 | AZ | MEDICAID |