NPI | 1467439091 |
---|---|
Former Legal Business Name | EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CLINTON G KUNTZ CEO 520-601-0607 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y00805) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2025-04-23 |