NPI | 1609245588 |
---|---|
Doing Business As | BANNER FAMILY PHARMACY - GATEWAY |
Entity Type | Organization |
Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2015-09-21 |
Last Update Date | 2021-12-17 |