| NPI | 1043314776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE DAVIS Secretary 520-868-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y02336) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |