| NPI | 1013613975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON HENDRICKSON Pharmacist In Charge And Owner 602-369-5668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |