Organization
APOTHECARY SHOP OF MESA INC
Active
Other names
The Apothecary Shop of Mesa
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MUSIL PHARMD (CEO)
(623) 434-3650
Entity
Organization
Contact information
Practice address
1432 S DOBSON RD, STE 101, MESA, AZ 85202-4769
(480) 969-9595
(480) 969-9494
Mailing address
23620 N 20TH DR, STE 12, PHOENIX, AZ 85085-0621
(623) 434-3650
(623) 434-3676
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
4155
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915267
—
AZ
Enumeration date
06/17/2005
Last updated
08/22/2020
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