NPI | 1245878867 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL FRANK KURTIS Owner/Pharmacist 623-932-3040 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-12-13 |
Last Update Date | 2019-12-13 |