| NPI | 1174693253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D MUSIL Director/CEO 623-434-3657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 49836) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA PHY 49836) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY 49836) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2010-03-23 |