Provider Demographics
NPI:1184944589
Name:LIMON, GILBERTO JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:
Last Name:LIMON
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N HAYDEN RD
Mailing Address - Street 2:#3509
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4720
Mailing Address - Country:US
Mailing Address - Phone:915-474-7399
Mailing Address - Fax:
Practice Address - Street 1:3036 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-8014
Practice Address - Country:US
Practice Address - Phone:602-468-9188
Practice Address - Fax:602-468-0939
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14395183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist