| NPI | 1841693462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN GOMEZ Pharmacist 520-661-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ S016937) |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2014-09-28 |