Organization
GRUNOW UNITED PHARMACY INC
Active
Other names
GRUNOW UNITED PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY WOOLLUMS RPH (PRESIDENT AND PIC)
(602) 254-7397
Entity
Organization
Contact information
Practice address
926 E MCDOWELL RD, STE 109, PHOENIX, AZ 85006-2503
(602) 254-7397
(602) 254-7453
Mailing address
926 E MCDOWELL RD, STE 109, PHOENIX, AZ 85006-2503
(602) 254-7397
(602) 254-7453
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y002735
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0303901
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
039041
—
AZ
Enumeration date
08/10/2006
Last updated
05/04/2010
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