| 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 |