Organization
M2D PHARMACY, LLC
Active
Other names
FOUR CORNERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HOANG (MEMBER)
(480) 534-1797
Entity
Organization
Contact information
Practice address
21321 E OCOTILLO RD # B104, QUEEN CREEK, AZ 85142-5996
(480) 534-1797
(480) 534-1799
Mailing address
21321 E OCOTILLO RD # B104, QUEEN CREEK, AZ 85142-5996
(480) 534-1797
(480) 534-1799
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y00764
AZ
3336C0004X
Compounding Pharmacy
Y00764
AZ
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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