| NPI | 1831566694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR MATTHEW STUPEY Pharmacist 928-380-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ S021526) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |