| NPI | 1073709119 |
|---|---|
| Doing Business As | AVE MARIA PHARMACY PLLC |
| Entity Type | Organization |
| Authorized Contact | PATRICK MCNERNEY Owner 928-772-8674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y004887) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2017-04-28 |