| NPI | 1700483625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY CONRAD ESPIRITU HERNANDEZ Pharmacist 623-606-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2020-10-05 |