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
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