Organization
ARIZONA SENIOR CARE PHARMACY INC
Active
Other names
ARIZONA SENIOR CARE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MASON RPH (CO OWNER PRES)
(602) 438-9301
Entity
Organization
Contact information
Practice address
2727 W BASELINE RD, STE 1, TEMPE, AZ 85283-1067
(602) 438-9301
(602) 438-9388
Mailing address
PO BOX 8156, CHANDLER, AZ 85246-8156
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
Y03621
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991388
PK
—
05
—
708810
—
AZ
Enumeration date
11/07/2005
Last updated
09/28/2015
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