| NPI | 1720083462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D MUSIL CEO 623-434-3657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005093) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y005093) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: AZ Y005093) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2013-04-30 |