Organization
PCM VENTURE I PHARMACY
Active
Other names
Phoenix Capital Management, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER AX (OWNER)
(480) 707-4534
Entity
Organization
Contact information
Practice address
9836 S JORDAN GTWY, SANDY, UT 84070-9509
(801) 262-6601
(801) 262-6636
Mailing address
9836 S JORDAN GTWY, SANDY, UT 84070-9509
(801) 262-6601
(801) 262-6636
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
UT
Other
Enumeration date
05/15/2009
Last updated
09/17/2014
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