NPI | 1558847954 |
---|---|
Doing Business As | FOUR CORNERS PHARMACY |
Entity Type | Organization |
Authorized Contact | DAWN HOANG Member 480-534-1797 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y00764) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y00764) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2018-07-18 |