Santa Teresa Pharmacy II LLC
Pharmacy in San Luis, AZ. Organization (NPI-2).
NPI number1114692829
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1114692829
- Entity type
- Organization (NPI-2)
- Legal business name
- Santa Teresa Pharmacy II LLC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2021
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
1896 E Babbit LnSan Luis, AZ 85336-7820
Phone 928-328-1000 · Fax 928-328-1001
Mailing address
Po Box 7649San Luis, AZ 85349-6815
Phone 928-328-1000 · Fax 928-328-1001
Authorized official
Raj Rakesh Shah
Ceo
6265891646
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