| NPI | 1841206257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN ELLORY CEO 602-528-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |