| NPI | 1487411781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BAVIER Managing Member 520-405-5658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |