| NPI | 1558785543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CANONIC Senior Director, Enrollment 480-853-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA 51768) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2025-06-17 |