| NPI | 1033203658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL FUNK CEO Pharmacy Services 602-747-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO PDO641) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-07-26 |