| NPI | 1659612885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEYS CEO 480-446-9010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY50552) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY50552) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA PHY50552) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA PHY50552) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: CA PHY50552) | |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2018-08-06 |