| NPI | 1104141563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY ANN MENG President 480-686-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AZ 35043) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |