Organization
AVELLA OF ARROWHEAD, INC
Active
Parent organization
APOTHECARY HOLDINGS INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
APOTHECARY HOLDINGS INC.
Authorized official
JOHN D MUSIL (CEO)
(623) 434-3657
Entity
Organization
Contact information
Practice address
17612 N 59TH AVE, GLENDALE, AZ 85308-3795
(602) 942-8270
(602) 942-2975
Mailing address
1606 W WHISPERING WIND DR, PHOENIX, AZ 85085-0678
(623) 434-1700
(623) 434-3673
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005088
AZ
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327026
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
739948
—
AZ
Enumeration date
10/21/2005
Last updated
04/30/2013
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