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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