Organization
ARIZONA PHARMACY, LLC
Active
Other names
Arizona Pharmacy # 2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE LINGAD JONES PHARM.D. (PHARMACY MANAGER)
(618) 960-7173
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE, SUITE 104, PHOENIX, AZ 85027-4013
(623) 939-1120
(623) 939-1130
Mailing address
20118 N 67TH AVE, SUITE 300-181, GLENDALE, AZ 85308-4621
(618) 960-7173
(623) 939-1130
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005320
AZ
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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