| NPI | 1881000339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GOLD Pharmacist 602-703-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005905) |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2014-07-31 |