Organization
WILLO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN WEBER RPH (OWNER)
(480) 860-6866
Entity
Organization
Contact information
Practice address
12339 E POINSETTIA DR, SCOTTSDALE, AZ 85259-3322
(480) 860-6866
(480) 860-6051
Mailing address
12339 E POINSETTIA DR, SCOTTSDALE, AZ 85259-3322
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y035575
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326808
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
698764
—
AZ
Enumeration date
07/30/2006
Last updated
08/31/2007
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