| NPI | 1467796193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CANONIC Senior Director, Enrollment 480-277-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY51219) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2025-06-05 |