| NPI | 1144484080 |
|---|---|
| Former Legal Business Name | CONSOLIDATED MAIL OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KATHY REMLEY Pharmacist 520-209-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ T016110) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: AZ 430101080251327) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |