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 |