| NPI | 1346645264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM CRUZ Pharmacy Manger 480-876-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ s007876) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |