Organization
WADHAMS APOTHECARY INC
Active
Other names
WADHAMS APOTHECARY INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WADHAMS PHARMD (PRES)
(928) 774-5004
Entity
Organization
Contact information
Practice address
3100 N WEST ST STE 200A, STE 200A, FLAGSTAFF, AZ 86004-1651
(928) 774-5004
(928) 774-5003
Mailing address
3100 N WEST ST STE 200A, STE 200A, FLAGSTAFF, AZ 86004-1651
(928) 774-5004
(928) 774-5003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y004735
AZ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1989418
PK
—
05
—
204681
—
AZ
Enumeration date
03/30/2007
Last updated
09/19/2025
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