| NPI | 1023839719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE LOWE Pharmacist In Charge 602-971-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |