| NPI | 1750673919 |
|---|---|
| Doing Business As | RESTORE HEALTH PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW WANDERER CEO 480-421-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 9070-042) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2015-02-23 |