| NPI | 1427298959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CANONIC Senior Director, Enrollment 480-853-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCY.0002129) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2025-06-17 |