Organization
GOLDSTEIN PHARMACEUTICALS SERVICES INC
Active
Other names
Mack's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GOLDSTEIN (OWNER)
(602) 956-8540
Entity
Organization
Contact information
Practice address
3628 E THOMAS RD, PHOENIX, AZ 85018-7502
(602) 956-8540
(602) 957-0291
Mailing address
PO BOX 80555, PHOENIX, AZ 85060-0555
(602) 956-8540
(602) 956-5423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y002107
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0305993
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
300567
—
AZ
Enumeration date
08/10/2006
Last updated
09/13/2011
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