Organization
PHARX2, PLLC
Active
Other names
Prescott Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY STEVENS PHARMD (PHARMACIST IN CHARGE)
(928) 515-2354
Entity
Organization
Contact information
Practice address
1841 E. HWY 69, SUITE 104, PRESCOTT, AZ 86301
(928) 515-2354
Mailing address
1841 E. HWY 69, SUITE 104, PRESCOTT, AZ 86301
(928) 515-2354
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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