| NPI | 1992797930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT MORRISON Sr. Pharmacy Manger 623-277-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AZ 1275) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2024-11-01 |