Organization
AMERICAN PREMIER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY SIMON FRASER HENDERSON PHARMD (CEO)
(602) 795-8664
Entity
Organization
Contact information
Practice address
11070 N 24TH AVE STE 150, PHOENIX, AZ 85029-4705
(602) 795-8664
(602) 795-8665
Mailing address
11070 N 24TH AVE STE 150, PHOENIX, AZ 85029-4705
(602) 795-8664
(602) 795-8665
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
12/11/2023
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