| NPI | 1912287095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA NICOLE HALL Staff Pharmacist 480-274-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ S018655) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |