Organization
CENTRAL PHARMACY INC
Active
Organization
CENTRAL PHARMACY INC
Active
Other names
St Joseph Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ESLAM ELMISSIREY RPH (OWNER,CFO, PIC, AO)
(480) 444-6612
Entity
Organization
Contact information
Practice address
333 W THOMAS RD STE 102, PHOENIX, AZ 85013-4401
(480) 444-6612
(480) 371-2757
Mailing address
333 W THOMAS RD STE 102, PHOENIX, AZ 85013-4401
(480) 444-6612
(480) 371-2757
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08433
—
AZ
01
—
2155128
PK
—
Enumeration date
11/10/2015
Last updated
10/20/2016
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