| NPI | 1396244976 |
|---|---|
| Doing Business As | SOUTH CENTRAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OLUFEMI OMODARA Owner 602-441-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y007459) |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-07-19 |