| NPI | 1447704887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID VOIGHT Pharmacy Intern 480-390-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ I011203) |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2016-08-14 |