Organization
BRISMA PHARMACY PLLC
Active
Other names
Brisma Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IBORO AKPAN PHARMD (PIC/OWNER)
(480) 577-8726
Entity
Organization
Contact information
Practice address
590 N ALMA SCHOOL RD, STE 3, CHANDLER, AZ 85224-4361
(480) 719-8798
(480) 719-8795
Mailing address
590 N ALMA SCHOOL RD, STE 3, CHANDLER, AZ 85224-4361
(480) 719-8798
(480) 719-8795
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y005421
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132211
PK
—
05
—
651175
—
AZ
Enumeration date
09/28/2011
Last updated
04/04/2017
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