| NPI | 1366759326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA ARIANA CASTANEDA Staff Pharmacist 520-390-8919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ S017580) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |