Organization
TERRITORIAL DRUG CO INC
Active
Other names
Tombstone HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ROETHER PHARMD (MANAGER)
(520) 457-3543
Entity
Organization
Contact information
Practice address
524 E ALLEN STREET, TOMBSTONE, AZ 85638
(520) 457-3543
(520) 457-3187
Mailing address
PO BOX 1279, TOMBSTONE, AZ 85638-1279
(520) 457-3543
(520) 457-3187
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989821
PK
—
05
—
325838
—
AZ
Enumeration date
06/20/2006
Last updated
08/07/2013
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