Organization
WESTERN MEDICAL INFUSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS CROWELL (PRESIDENT)
(602) 302-8475
Entity
Organization
Contact information
Practice address
2202 E UNIVERSITY DR, STE B, PHOENIX, AZ 85034-6804
(602) 257-9347
(602) 275-9194
Mailing address
2202 E UNIVERSITY DR, STE B, PHOENIX, AZ 85034-6804
(602) 257-9347
(602) 275-9194
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
3935
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328369
NCPDP (PHARMACY ID)
AZ
05
—
881799
—
AZ
01
—
AZ0037290
BC/BS ID
AZ
Enumeration date
10/06/2005
Last updated
08/22/2020
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