| NPI | 1902256092 |
|---|---|
| Doing Business As | BANNER FAMILY PHARMACY-UNIV. MED. INSTITUTE 1441 |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006870) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2021-12-17 |