Organization
FIRST ROYAL CARE CO LLC
Active
Other names
Red Mountain Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HOANG (OWNER)
(480) 204-1442
Entity
Organization
Contact information
Practice address
6828 E BROWN RD, STE 101, MESA, AZ 85207-3761
(480) 218-2236
(480) 471-6005
Mailing address
6828 E BROWN RD, STE 101, MESA, AZ 85207-3761
(480) 218-2236
(480) 471-6005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y006079
AZ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120042
PK
—
Enumeration date
04/24/2009
Last updated
10/09/2015
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