| NPI | 1912326745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ANN GRAHAM Pharmacist 480-945-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ 183500000X) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |