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NPI Code Detail

MEDICARE: GREGORY PETER GODLESKI R.PH.

MEDICARE:   GREGORY PETER GODLESKI  R.PH.
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
1183500000XPharmacist11129AZ

General Provider Information

NPI Number : 1740273598
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY PETER GODLESKI R.PH.
Provider Business Mailing Address
First Line : 7502 E LESTER CIR
Second Line :
City : TUCSON
State : AZ
Zip : 85715-4514
Country : US
Telephone Number : 520-886-7084
Fax Number :
Provider Business Practice Location Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-205-4996
Fax Number : 520-670-3842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 03/17/2018

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Directions to “ GREGORY PETER GODLESKI R.PH.” Practice Location

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