| NPI | 1194736777 |
|---|---|
| Doing Business As | COMMUNITY CLINICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KRISTIAN KANISKI Managing Member 480-969-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: AZ Y03824) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-02-10 |