NPI | 1578247342 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS SHAW Owner/Pharmacist 602-509-2863 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
Enumeration Date | 2023-06-13 |
Last Update Date | 2023-06-13 |