| NPI | 1225179633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NELSON ANGER Pharmacy Director 480-965-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AZ 800) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |