| NPI | 1285146316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY HERRING Pharmacist 928-526-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ y007398) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |