MEDICARE: DR. GILBERTO LIMON JR. PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14395	AZ

General Provider Information

NPI Number	:	1184944589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERTO LIMON JR. PHARMD

Provider Business Mailing Address
First Line	:	3600 N HAYDEN RD
Second Line	:	#3509
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-4720
Country	:	US
Telephone Number	:	915-474-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	3036 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-8014
Country	:	US
Telephone Number	:	602-468-9188
Fax Number	:	602-468-0939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	06/08/2010

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