| NPI | 1417367061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD RKEIN Pharmacist 602-800-7856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y005886) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-08-21 |