| NPI | 1346774619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MARASIGAN Director, LLC Manager 480-662-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S014670) |
| 208D00000X General Practice (Licence: AZ md47798) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |