Organization
AIRPARK PHARMACY, LLC
Active
Other names
Airpark Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DISCERNI (RPH-MEMBER)
(480) 319-9749
Entity
Organization
Contact information
Practice address
15021 N 74TH ST STE 100, SCOTTSDALE, AZ 85260-2497
(480) 319-9749
(602) 792-3825
Mailing address
15021 N 74TH ST, SUITE 100, SCOTTSDALE, AZ 85260-2497
(480) 319-9749
(602) 792-3825
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
Y005338
AZ
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0357118
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/03/2011
Last updated
06/03/2011
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