| NPI | 1578741120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SOTO Associate Pharmacy Director 602-586-3026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AZ 4078) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2019-11-21 |