Organization
AVELLA OF PHOENIX II, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D MUSIL PHARM D (CEO)
(623) 434-3657
Entity
Organization
Contact information
Practice address
5040 N 15TH AVE STE 102, PHOENIX, AZ 85015-3329
(602) 277-3181
(602) 277-3148
Mailing address
1606 W WHISPERING WIND DR, PHOENIX, AZ 85085-1322
(623) 434-1700
(623) 434-3673
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y005091
AZ
Other
Enumeration date
07/07/2011
Last updated
01/03/2014
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