| NPI | 1952775298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LEACH Director Of Pharmacy/AO 602-406-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y006423) |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-10-06 |