| NPI | 1700641073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE MAE SPAETH Director Of Pharmacy 520-477-9776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |