Organization
HSP INC
Active
Organization
HSP INC
Active
Other names
Ranch pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ESLAM ELMISSIREY (PIC)
(480) 444-6612
Entity
Organization
Contact information
Practice address
3415 W GLENDALE AVE STE 27A, PHOENIX, AZ 85051-8391
(480) 888-8128
(480) 888-8128
Mailing address
3415 W GLENDALE AVE STE 27A, PHOENIX, AZ 85051-8391
(480) 888-8128
(480) 888-8128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y005651
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140027
PK
—
Enumeration date
04/24/2013
Last updated
04/24/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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