| NPI | 1225589856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON BROCK Pharmacist 602-821-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR 0015475) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2023-08-03 |