| NPI | 1891251526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVA A GONZALEZ Pharmacy COO Rdinator 520-670-3813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |