| NPI | 1568473130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF GUBERNICK Owner 480-575-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ 1918) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-03-18 |