Organization
BIG PARK PHARMACY LLC
Active
Parent organization
BIG PARK PHARMACY
Other names
Prescott Compounding Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIG PARK PHARMACY
Authorized official
MR. GREGG A HUSER RPH (PHARMACIST)
(928) 515-2354
Entity
Organization
Contact information
Practice address
1000 AINSWORTH DRIVE, SUITE B-105, PRESCOTT, AZ 86305
(928) 515-2354
(928) 515-2356
Mailing address
1000 AINSWORTH DRIVE, SUITE B-105, PRESCOTT, AZ 86305
(928) 515-2354
(928) 515-2356
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
5550
AZ
Other
Enumeration date
03/29/2013
Last updated
08/21/2019
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