Most Relevant Information
Provider Data
| NPI Number: | 1003832064 |
| Provider Name: | GAYLA S MITCHELL PHARMACH TECHNICIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4241 HWY 14 W
REA CLINIC PHARMACY
CHRISTOPHER
IL
62822
Practice Location Phone/Fax
| Phone: | 6187242136 |
| Fax: | 6187242571 |
Provider Mailing Location
PO BOX 155
REA CLINIC PHARMACY
CHRISTOPHER
IL
628220155
Provider Mailing Phone/Fax
| Phone: | 6187242136 |
| Fax: | 6187242571 |