| NPI | 1649699414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DANIELSON Pharmacist 480-998-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ 18000) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |