NPI | 1063825222 |
---|---|
Doing Business As | EZYFAST PHARMACY |
Entity Type | Organization |
Authorized Contact | EZEKIEL KESITILWE Owner/Manager 928-230-9812 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH03236) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-06-05 |
Last Update Date | 2017-01-17 |