| NPI | 1861897738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOC KHAC LE Pharmacist 520-426-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ S012817) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |