Organization
MIXTURES PHARMACY LLC
Active
Parent organization
MIXTURES PHARMACY LLC
Other names
Mixtures Pharmacy & Compounding Center Gilbert
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIXTURES PHARMACY LLC
Authorized official
LORI LYNN ALLEN R.PH (PRESIDENT)
(480) 226-1946
Entity
Organization
Contact information
Practice address
2730 S VAL VISTA DRIVE, BUILDING 1, SUITE 102, GILBERT, AZ 85295
(480) 300-5279
(480) 300-5649
Mailing address
16515 S 40TH STREET, SUITE 123, PHOENIX, AZ 85048
(480) 706-0620
(480) 706-0489
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005671
AZ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659703460
—
AZ
01
—
Y005671
ARIZONA STATE BOARD OF PHARMACY
AZ
Enumeration date
08/02/2013
Last updated
10/23/2025
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