Organization
CLP ARIZONA PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A. DEAL CEO (PRESIDENT)
(615) 308-8128
Entity
Organization
Contact information
Practice address
20612 N CAVE CREEK RD, SUITE 150, PHOENIX, AZ 85024-4440
(602) 256-9323
(302) 256-0009
Mailing address
20612 N CAVE CREEK RD, SUITE 150, PHOENIX, AZ 85024-4440
(602) 256-9323
(302) 256-0009
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0352500
NCPDP NUMBER
—
05
—
946709
—
AZ
Enumeration date
07/01/2006
Last updated
08/22/2020
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