| NPI | 1073599114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA B CARZOLI Director Of Operations 520-309-3959 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y04293) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2019-02-19 |