Organization
PHARMBLUE ARIZONA, LLC
Active
Other names
PharmBlue Arizona LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH POHL III (CHIEF EXECUTIVE OFFICER)
(724) 779-4720
Entity
Organization
Contact information
Practice address
1260 S. CAMPBELL ROAD, SUITE 1152, GREEN VALLEY, AZ 85614-0503
(724) 779-4720
(724) 779-4721
Mailing address
1260 S. CAMPBELL ROAD, SUITE 1152, GREEN VALLEY, AZ 85614-0503
(724) 779-4720
(724) 779-4721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00004249
NM
3336C0003X
Community/Retail Pharmacy
Primary
Y006522
AZ
3336L0003X
Long Term Care Pharmacy
31221
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096371
—
AZ
01
—
2154800
PK
—
05
—
58207007
—
NM
Enumeration date
08/21/2015
Last updated
12/14/2018
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