| NPI | 1093791873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON G KUNTZ CEO 520-601-0607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2025-04-23 |