| NPI | 1962833830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KAY COOPMAN Pharmacist In Charge 602-225-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ Y005653) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |