| NPI | 1487118717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLEN WHALEN Director Of Pharmacy Operations 480-855-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2022-09-07 |