Organization
MARY & JOSEPH FOOD AND DRUG COMPANY, LLC
Active
Other names
A Nice Apothecary, Scaled Enterprise Solutions, Scaled Enterprise Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOSEPH YOUKHANA PHARM. D. (OWNER)
(602) 675-0887
Entity
Organization
Contact information
Practice address
10210 N 32ND ST STE C7, PHOENIX, AZ 85028-3826
(602) 675-0887
(602) 610-5844
Mailing address
10210 N 32ND ST STE C7, PHOENIX, AZ 85028-3826
(602) 675-0887
(602) 610-5844
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Y007596
AZ
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2178043
PK
—
Enumeration date
06/11/2018
Last updated
10/05/2020
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