Organization
PORTABLE MEDICAL PHARMACY
Active
Other names
SPECTRUM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TOOMEY (OWNER)
(702) 491-6447
Entity
Organization
Contact information
Practice address
6250 E GRANT RD, STE 388, TUCSON, AZ 85712-5805
(520) 296-0317
(520) 296-0417
Mailing address
5538 DUNCAN DR, LAS VEGAS, NV 89130-2812
(702) 939-6562
(702) 939-6569
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
4292
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991946
PK
—
05
—
962755
—
AZ
Enumeration date
01/23/2007
Last updated
03/06/2017
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