Organization
ARIZONA MEDICAL INFUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SAMMARTINO R.PH. (DIRECTOR OF PHARMACY)
(602) 788-3400
Entity
Organization
Contact information
Practice address
20650 N 29TH PL, SUITE 105, PHOENIX, AZ 85050-4782
(602) 788-3400
(602) 788-3405
Mailing address
20650 N 29TH PL, SUITE 105, PHOENIX, AZ 85050-4782
(602) 788-3400
(602) 788-3405
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
Y004697
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334622
—
AZ
Enumeration date
08/24/2007
Last updated
02/18/2009
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