| NPI | 1679955504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW EICHER Pharmacist 623-907-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AZ S020800) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |