NPI | 1588102487 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN LYNN BUTLER President 480-912-5959 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ y007131) |
Additional Taxonomies | 333600000X Pharmacy (Licence: AZ y007131) |
3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y007131) | |
Enumeration Date | 2017-02-10 |
Last Update Date | 2022-06-02 |