| NPI | 1669483236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BATES Owner 623-846-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y002881) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-06-08 |