| NPI | 1801592555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN COHEN Pharmacist In Charge 480-969-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |