NPI | 1366447005 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN D MUSIL CEO 623-434-3657 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005091) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2005-06-17 |
Last Update Date | 2012-09-11 |