| NPI | 1538513742 |
|---|---|
| Doing Business As | BANNER FAMILY PHARMACY-SKYLINE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL FUNK CEO, Pharmacy Services 602-747-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.1680000113) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-07-26 |