Organization
DM ESTRELLA PHARMACY INC
Active
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
Update your record
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