Organization
PHARMCAREUSA OF PHOENIX, LLC
Active
Other names
PharmcareUSA of Phoenix, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BARNEY ABBOTT (MANAGER)
(866) 403-2003
Entity
Organization
Contact information
Practice address
4320 E BROWN RD STE 106, MESA, AZ 85205-4081
(480) 832-9008
(480) 832-9008
Mailing address
4320 E BROWN RD, SUITE 106, MESA, AZ 85205-4082
(480) 832-9008
(480) 832-9008
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y005559
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0357752
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/20/2012
Last updated
11/20/2012
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