Organization
CANYON RIVER, LLC
Active
Other names
Blue Swan Pharmacy- Tempe
Organization subpart
No
Provider details
NPI number
Authorized official
AKSHAR PATEL (SOLE DIRECTOR)
(480) 977-6622
Entity
Organization
Contact information
Practice address
1328 W UNIVERSITY DR STE 103, TEMPE, AZ 85281-3390
(480) 977-6622
(877) 708-1001
Mailing address
1328 W UNIVERSITY DR STE 103, TEMPE, AZ 85281-3390
(480) 977-6622
(877) 708-1001
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228795
—
AZ
Enumeration date
08/05/2026
Last updated
08/05/2026
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