| NPI | 1679111074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUY M AL ATTEELI Pharmacist In Charge 602-800-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |