| NPI | 1396817607 |
|---|---|
| Doing Business As | SALT RIVER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAURA A TILLMAN Cmo 602-263-1674 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-05-26 |