NPI | 1770525354 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ROA President 480-505-5732 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y03561) |
Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
Enumeration Date | 2006-06-11 |
Last Update Date | 2020-08-22 |