| NPI | 1265064133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN AZIZI Pharmacist In Charge 480-221-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2023-05-09 |