NPI | 1801900766 |
---|---|
Doing Business As | PIMC PHARMACY |
Entity Type | Organization |
Authorized Contact | LAURA A TILLMAN Chief Medical Officer 602-263-1567 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AZ AZS07912) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-05-19 |