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