| NPI | 1144359852 |
|---|---|
| Doing Business As | KOMATKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LARRY CROLL Director, Pharmacy 602-528-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2017-04-28 |