Organization
EAGLE PHARMACY, LLC
Active
Other names
Eagle Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN KRUEGER RPH (MEMBER)
(602) 312-8290
Entity
Organization
Contact information
Practice address
16222 N 59TH AVE, SUITE D175, GLENDALE, AZ 85306-1701
(602) 354-5261
Mailing address
9869 W QUAIL TRACK DR, PEORIA, AZ 85383-8793
(602) 312-8290
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005337
AZ
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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