| NPI | 1124278882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL L HICKS Director Of Pharmacy 602-810-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: AZ Y005026) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: AZ Y005026) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-10-02 |