| NPI | 1851936132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHUTEJA BEGUM Pharmacist 480-299-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2022-02-07 |