| NPI | 1326077397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RIVERS Managed Care Plan Specialist 623-869-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ Y03469) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-01-19 |