| NPI | 1437275518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN SUE DIVELBISS Pharmacy Tech 928-778-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183700000X Pharmacy Technician (Licence: AZ 3306) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |