| NPI | 1063419299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. LYLE BOOTMAN Dean 520-626-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 1700) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2020-08-22 |