| NPI | 1528202215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HOANG Owner 480-204-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y006079) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2015-10-09 |