Organization
DESERT SKY PHARMACY, LLC
Active
Parent organization
DESERT SKY PHARMACY
Other names
Desert Sky Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESERT SKY PHARMACY
Authorized official
TAI PHAM (PHARMACIST IN CHARGE)
(623) 209-0870
Entity
Organization
Contact information
Practice address
6750 W THUNDERBIRD RD STE 103, PEORIA, AZ 85381-5046
(623) 209-0870
(623) 209-0872
Mailing address
6750 W THUNDERBIRD RD STE 103, PEORIA, AZ 85381-5046
(623) 209-0870
(623) 209-0872
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408470
—
AZ
Enumeration date
07/13/2021
Last updated
07/13/2021
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