NPIRadar

Old Pueblo Drug Valid NPI

Organization · Community/Retail Pharmacy · Sonoita, AZ

NPI
1093859795
Type
Organization (Type 2)
Primary specialty
Community/Retail Pharmacy (Pharmacy)
Specialty group
Suppliers
Taxonomy code
3336C0003X
License number
YO2983 (AZ)
Enumerated
2007-02-16
Last updated
2015-06-05
Practice location
3272 Hwy 82
Sonoita, AZ 85637
(520) 455-0058

Find more providers