| NPI | 1861782856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W BURCH Partner 480-516-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005317) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y005317) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2018-08-29 |