| NPI | 1831448398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T ENGELKEN CEO 928-283-2784 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2013-12-11 |