| NPI | 1003827676 |
|---|---|
| Doing Business As | UPTOWN DRUG |
| Entity Type | Organization |
| Authorized Contact | CHRIS HOWARD PROFFIT Owner 928-753-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y007029) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-04-05 |