| NPI | 1407832181 |
|---|---|
| Former Legal Business Name | SUNSET YUMA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID D ROGERS CEO 928-819-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: Y004306) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AZ 4306) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2017-02-24 |