| NPI | 1073006557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH YOUKHANA Owner 602-675-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AZ Y007596) |
| 333600000X Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-10-05 |