Organization
AVE MARIA PHARMACY P.L.L.C.
Active
Other names
AVE MARIA PHARMACY PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MCNERNEY RPH (OWNER)
(928) 772-8674
Entity
Organization
Contact information
Practice address
1945 COMMERCE CENTER CIR, STE C, PRESCOTT, AZ 86301-7411
(928) 772-8674
(928) 772-8413
Mailing address
1945 COMMERCE CENTER CIR, STE C, PRESCOTT, AZ 86301-7411
(928) 772-8674
(928) 772-8413
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
Y004887
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992604
PK
—
Enumeration date
09/21/2007
Last updated
04/28/2017
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