| NPI | 1255743241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM T TRAN Registered Pharmacist 520-731-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ S013183) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |