| NPI | 1407386410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ALLEN President/Pharmacist 480-706-0620 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y007251) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y007251) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |