| NPI | 1588076731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WIDMER Pharmacy Team Lead 602-296-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ s016852) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |