| NPI | 1578752762 | 
|---|---|
| Doing Business As | BLACK CANYON SCHOOL PHARMACY | 
| Entity Type | Organization | 
| Authorized Contact | RONALD WILLIAMS Medical Director 602-520-1663  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: AZ Y01936)  | 
| Enumeration Date | 2007-10-24 | 
| Last Update Date | 2016-04-12 |