Organization
EPIPHANY COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHISH PATEL (PHARMACIST/MANAGING PARTNER)
(908) 565-2193
Entity
Organization
Contact information
Practice address
10575 N 114TH ST STE 113, SCOTTSDALE, AZ 85259-4908
(602) 767-1221
(480) 781-0016
Mailing address
10575 N 114TH ST STE 113, SCOTTSDALE, AZ 85259-4908
(602) 767-1221
(480) 781-0016
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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