Organization
DM ESTRELLA PHARMACY INC
Active
Other names
Estrella Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELEMBABI (GENERAL MANAGER)
(623) 388-5025
Entity
Organization
Contact information
Practice address
9305 W THOMAS RD, STE 185, PHOENIX, AZ 85037-3328
(623) 388-5025
(623) 388-5075
Mailing address
9305 W THOMAS RD, STE 185, PHOENIX, AZ 85037-3328
(623) 388-5025
(623) 388-5075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005637
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127688
—
AZ
01
—
2140131
PK
—
Enumeration date
04/22/2006
Last updated
06/10/2016
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