Organization
VERTISIS CUSTOM PHARMACY
Active
Other names
Vertisis Custom Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HARRISON (PHARMACY MANAGER)
(888) 285-5841
Entity
Organization
Contact information
Practice address
9343 E BAHIA DR, SECOND FLOOR, SCOTTSDALE, AZ 85260-1559
(888) 285-5841
(480) 625-4276
Mailing address
9343 E BAHIA DR, SECOND FLOOR, SCOTTSDALE, AZ 85260-1559
(888) 285-5841
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
Y007042
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162287
PK
—
Enumeration date
06/16/2016
Last updated
02/23/2017
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