| NPI | 1639100803 |
|---|---|
| Doing Business As | SOUTHWOOD APOTHECARY SHOP |
| Entity Type | Organization |
| Authorized Contact | NATHAN DOWNHOUR VP Of Operations 623-434-3654 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 69707811703) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-11-06 |