NPI 1194153148

Frys

Organisation Health Maintenance Organization Tolleson, AZ

Practice location

Address: 500 S 99th Ave, Tolleson, AZ 85353-9700
Phone: (520) 458-0997
Fax: (520) 458-5849

Authorised official

Name: Lyle Green Trone
Title: Pharmacist
Phone: (520) 458-0997

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence S020208 (AZ)

Other Health Maintenance Organization providers in Arizona →

Registry record

NPI: 1194153148
Entity type: Organization
NPI issued: 29 Oct 2013
Record last updated: 29 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.