| NPI | 1407292816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNST M KRUGER Pharmacist In Charge 928-234-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005643) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |