| NPI | 1154975043 |
|---|---|
| Doing Business As | BETHANY HOME DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUSHMITHA GODISHALA Member 602-585-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2022-08-15 |