Chrystine Poventud
Pharmacist in Gilbert, AZ. Individual provider (NPI-1).
NPI number1003249129
StatusActive
Last updated in NPPESDec 26, 2022
Details
- NPI
- 1003249129
- Entity type
- Individual (NPI-1)
- Name
- Chrystine Poventud
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2013
- Certification date
- Dec 26, 2022
- Last updated
- Dec 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | S020017 | AZ | Yes |
Practice location
3230 E Chandler Heights RdGilbert, AZ 85298-4261
Phone 480-857-1801
Mailing address
3230 E Chandler Heights RdGilbert, AZ 85298-4261
Phone 480-214-4894
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