NPI | 1003806050 |
---|---|
Doing Business As | APOTHECARY SHOP OF PHOENIX, INC |
Entity Type | Organization |
Authorized Contact | JOHN MUSIL Director/CEO 623-434-3657 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005087) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2011-02-07 |