Organization
CAMELBACK VILLAGE PHARMACY INC
Active
Other names
CAMELBACK COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MEYERS (PRESIDENT)
(602) 840-1111
Entity
Organization
Contact information
Practice address
4416 E CAMELBACK RD, PHOENIX, AZ 85018-2824
(602) 955-2880
(602) 956-3784
Mailing address
4416 E CAMELBACK RD, PHOENIX, AZ 85018-2824
(602) 840-1111
(602) 840-0111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y02307
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0313825
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
242066
—
AZ
Enumeration date
08/20/2006
Last updated
05/17/2016
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