| NPI | 1871881334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ALAN PETERS Manager 480-443-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AZ 24930) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |