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 |