| NPI | 1083081509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LEIGH KAISER Pharmacist In Charge 928-532-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021325) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |