| NPI | 1164808648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUY VU Pharmacist In Charge 480-512-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006529) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-25 |