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Organization

MIX COMPOUNDING, LLC

Active
Other names
Mix Compounding
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COURTNEY FORSTER (OWNER)
(888) 229-3775
Entity
Organization

Contact information

Practice address
7110 E MCDONALD DR, SUITE C-1, SCOTTSDALE, AZ 85253-5426
(888) 229-3775
(602) 749-6610
Mailing address
7110 E MCDONALD DR, SUITE C-1, SCOTTSDALE, AZ 85253-5426
(888) 229-3775
(602) 749-6610

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
Y005618
AZ

Other

Enumeration date
06/27/2013
Last updated
06/27/2013
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