| NPI | 1356802664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL JOHN SALIBA Pharmacist In Charge 480-621-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-12-18 |