| NPI | 1720099302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY ALLEN Owner 480-251-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ 4617) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |