| NPI | 1972738029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNARONG JARUVANGSANTI Pharmacist 480-505-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S010041) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |