| NPI | 1386931616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D MUSIL CEO 623-434-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005091) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2014-01-03 |