| NPI | 1407083231 |
|---|---|
| Doing Business As | EL RIO SOUTHEAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA B CARZOLI Director Of Operations 520-309-3959 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005097) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2018-09-11 |