Organization
BRIGHTON PHARMACY LLC
Active
Other names
Brighton Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GUBERNICK (PIC)
(866) 226-0057
Entity
Organization
Contact information
Practice address
1403 W 10TH PL STE 119, TEMPE, AZ 85281-5252
(866) 226-0057
(888) 789-4573
Mailing address
1403 W 10TH PL STE 119, TEMPE, AZ 85281-5252
(866) 226-0057
(888) 789-4573
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005468
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133845
PK
—
Enumeration date
02/17/2012
Last updated
07/16/2014
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