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Organization

LONG TERM STRATEGIES

Active
Other names
Long Term Strategies
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG MATHEWS (CEO)
(928) 951-4913
Entity
Organization

Contact information

Practice address
107 W WADE LN STE 4, PAYSON, AZ 85541-4872
(928) 468-8299
(928) 474-7439
Mailing address
107 W WADE LN, SUITE 4, PAYSON, AZ 85541-4872
(928) 468-8299
(928) 474-7439

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
Y005480
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0357536
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
05/17/2012
Last updated
05/17/2012
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