| NPI | 1194175588 |
|---|---|
| Doing Business As | CHINO VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JASON JAMES DYKSTRA Pharmacist 928-515-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y006900) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2019-12-20 |