| NPI | 1174033583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD CACCIATORE Pharmacist In Charge And Owner 520-405-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |