NPI | 1023327137 |
---|---|
Doing Business As | BANNER FAMILY PHARMACY |
Entity Type | Organization |
Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ 005299) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2021-12-23 |