| NPI | 1669936472 |
|---|---|
| Doing Business As | VALLEYWISE BEHAVIORAL HEALTH CENTER - MARYVALE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANNA SOGARD Director Of Pharmacy 602-344-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-10-24 |