| NPI | 1073954970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAEF HAMAED President 480-620-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y005679) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2019-04-16 |