Organization
WEDGEWOOD PHARMACY LLC
Active
Other names
Diamondback Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO BERNAL-ANGEL (CHIEF EXECUTIVE OFFICER, SECRETARY)
(973) 307-7154
Entity
Organization
Contact information
Practice address
7631 E INDIAN SCHOOL ROAD, SUITE 105, SCOTTSDALE, AZ 85251
(800) 331-8272
(856) 491-4365
Mailing address
405 HERON DRIVE, SUITE 200, SWEDESBORO, NJ 08085
(800) 331-8272
(856) 491-4365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
NP000022
PA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
Y006134
AZ
Other
Enumeration date
12/05/2006
Last updated
05/27/2025
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