| NPI | 1114989506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLEE REYNOLDS OCONNOR Director Of Pharmcy 520-298-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ 07-624425-u) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |