Organization
WESTERN DRUG INC
Active
Other names
WESTERN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HARPER (OWNER)
(928) 333-4321
Entity
Organization
Contact information
Practice address
106 E MAIN, SPRINGERVILLE, AZ 85938-0111
(928) 333-4321
(928) 333-4328
Mailing address
PO BOX 111, SPRINGERVILLE, AZ 85938-0111
(928) 333-4321
(928) 333-4328
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00280
AZ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030411
—
AZ
01
—
1997285
PK
—
Enumeration date
08/20/2006
Last updated
12/29/2021
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