| NPI | 1164511481 |
|---|---|
| Doing Business As | LISKA'S APOTHECARY SHOP |
| Entity Type | Organization |
| Authorized Contact | ANTHONY ADRIAN LISKA Pharmacist 928-855-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ 1325) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-10-07 |