| NPI | 1073628095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA STICKLER President 602-277-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y04279) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-02-20 |