Organization
MIXTURES PHARMACY LLC
Active
Organization
MIXTURES PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ALLEN RPH (PHARMACIST OWNER)
(480) 706-0620
Entity
Organization
Contact information
Practice address
16515 S 40TH ST STE 123, PHOENIX, AZ 85048-0559
(480) 706-0620
(480) 706-0489
Mailing address
16515 S 40TH ST STE 123, PHOENIX, AZ 85048-0559
(480) 706-0620
(480) 706-0489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
YO3896
AZ
3336C0003X
Community/Retail Pharmacy
Primary
3896
AZ
3336C0004X
Compounding Pharmacy
3986
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295887552
—
AZ
Enumeration date
01/17/2007
Last updated
10/23/2025
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up