| NPI | 1225254576 |
|---|---|
| Other Name | MANAGED PRESCRIPTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J WICKIS Operations Manager 520-297-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 6870) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-01-24 |