| NPI | 1144723495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE DEJONGE-RYAN Program Manager 602-372-2544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ S022396) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |