| NPI | 1295887552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ALLEN Pharmacist Owner 480-706-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ 3896) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ YO3896) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ 3986) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2022-04-28 |