| NPI | 1164841672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FRICK Pharmacist 602-404-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y004523) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |