| NPI | 1366717860 |
|---|---|
| Doing Business As | EZYFAST PHARMACY L.L.C |
| Entity Type | Organization |
| Authorized Contact | EZEKIEL KESITILWE Owner 928-230-9812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005478) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-05-22 |