| NPI | 1700179801 |
|---|---|
| Doing Business As | GRACE REXALL DRUGS |
| Entity Type | Organization |
| Authorized Contact | OLUFEMI OMODARA Manager 602-277-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005374) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |