NPI | 1033151600 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY TROILO President 480-345-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y03731) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
3336L0003X Pharmacy Long Term Care Pharmacy | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2009-01-09 |