| NPI | 1659752145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STANLEY DOUGLASS Pharmacist 928-754-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ S019426) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |