Organization
CANYON RIVER, LLC
Active
Organization
CANYON RIVER, LLC
Active
Other names
Blue Swan Pharmacy- Tempe
Organization subpart
No
Provider details
NPI number
Authorized official
AKSHAR PATEL (MEMBER)
(678) 977-9009
Entity
Organization
Contact information
Practice address
1328 W UNIVERSITY DR STE 103, TEMPE, AZ 85281-3390
(860) 402-8018
Mailing address
1328 W UNIVERSITY DR STE 103, TEMPE, AZ 85281-3390
(480) 977-6622
(877) 708-1001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228795
—
AZ
Enumeration date
12/03/2025
Last updated
07/15/2026
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