| NPI | 1497848824 |
|---|---|
| Doing Business As | BANNER GOOD SAMARITAN OP CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AZ 3146) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2022-01-31 |