STATE OF ARIZONA

PHOENIX, AZ
NPI1578752762
Doing Business AsBLACK CANYON SCHOOL PHARMACY
Entity TypeOrganization
Authorized ContactRONALD WILLIAMS
Medical Director
602-520-1663
Organization Subpart ?No
Primary Taxonomy3336I0012X Pharmacy, Institutional Pharmacy
(Licence: AZ  Y01936)
Enumeration Date2007-10-24
Last Update Date2016-04-12
Business Address
STATE OF ARIZONA
24601 N 29TH AVE
PHOENIX, AZ 85083-1165
Phone number: 623-780-1303
Mailing Address
STATE OF ARIZONA
24601 N 29TH AVE
PHOENIX, AZ 85083-1165
Phone number: 623-780-1303