| NPI | 1336144716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG T FRAZIER Owner/President 480-654-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ 2864) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-08-22 |