| NPI | 1255759387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CORRENTI Pharmacist In Charge 480-917-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2014-04-05 |