Organization
J L & C ENTERPRISES INC
Active
Other names
Goodwin Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PHILLIPS RPH (PHARMACIST OWNER)
(928) 445-3550
Entity
Organization
Contact information
Practice address
406 W GOODWIN ST, PRESCOTT, AZ 86303-3737
(928) 445-3550
Mailing address
406 W GOODWIN ST, PRESCOTT, AZ 86303-3737
(928) 445-3550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2295
AZ
Other
Enumeration date
07/15/2006
Last updated
08/26/2008
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