Organization
SUN CITY PHARMACY INC
Active
Other names
Sun City Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED HASSANEIN-ELEMBABI (PHARMACIST/OWNER)
(623) 760-5572
Entity
Organization
Contact information
Practice address
9133 W THUNDERBIRD RD STE 101, PEORIA, AZ 85381-4269
(623) 322-6664
(623) 322-6668
Mailing address
9133 W THUNDERBIRD RD STE 101, PEORIA, AZ 85381-4269
(623) 322-6664
(623) 322-6668
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005538
AZ
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136838
PK
—
Enumeration date
09/07/2012
Last updated
11/21/2014
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