Organization
WHITE NILE
Active
Other names
Bristol pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMAL K SAEID PHARMD (PHARMACIST IN CHARGE)
(484) 620-3937
Entity
Organization
Contact information
Practice address
4338 W THOMAS RD UNIT E5, PHOENIX, AZ 85031-3878
(484) 620-3937
Mailing address
11034 N 28TH DR UNIT 308, PHOENIX, AZ 85029-4380
(484) 620-3937
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y008419
STATE BOARD OF PHARMACY
AZ
Enumeration date
10/20/2020
Last updated
07/01/2021
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