| NPI | 1316264716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED ISKHAKOV President 480-253-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: AZ Y005662) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-07-18 |