| NPI | 1386062339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MAKI Pharmacist 520-444-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ S019812) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2014-04-06 |