| NPI | 1093135691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CRENSHAW SMITH Staff Pharmacist 480-983-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ S019677) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |