NPI | 1770719387 |
---|---|
Doing Business As | EAGLE PHARMACY #2 |
Entity Type | Organization |
Authorized Contact | BRYAN KRUEGER Member 602-312-8290 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005161) |
Enumeration Date | 2009-06-09 |
Last Update Date | 2011-05-20 |