Organization
OMNISCRIPT COMPOUNDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE LOWE (PHARMACIST IN CHARGE)
(602) 971-6950
Entity
Organization
Contact information
Practice address
4045 E BELL RD STE 163, PHOENIX, AZ 85032-2240
(602) 971-6950
Mailing address
4045 E BELL RD STE 163, PHOENIX, AZ 85032-2240
(602) 971-6950
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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