| NPI | 1548094535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALKER Member 480-626-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |