| NPI | 1386749836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHEEL FAROUGH SVP, Managed Care & Payor Strategy 602-933-3548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y001644) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-07-11 |