| NPI | 1093259160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE KANTOS District Pharmacy Manager 480-435-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ S022277) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |