Organization
MORTAR AND PESTLE COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY EPSTEIN PHARMD (PHARMACIST)
(928) 526-2446
Entity
Organization
Contact information
Practice address
1928 N 2ND ST, FLAGSTAFF, AZ 86004-4207
(928) 526-2446
Mailing address
1928 N 2ND ST, FLAGSTAFF, AZ 86004-4207
(928) 526-2446
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
Y007398
AZ
Other
Enumeration date
10/30/2017
Last updated
09/19/2024
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