Organization
AVELLA OF CHANDLER, 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 PHARMD (CEO)
(623) 434-3657
Entity
Organization
Contact information
Practice address
2155 E CONFERENCE DR, STE 101, TEMPE, AZ 85284-2604
(480) 775-4784
(480) 730-9734
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
Y005093
AZ
3336C0004X
Compounding Pharmacy
Y005093
AZ
3336S0011X
Specialty Pharmacy
Y005093
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0324157
NCPDP
—
05
—
566515
—
AZ
Enumeration date
06/17/2005
Last updated
04/30/2013
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