Organization
PHARMCARE USA OF GREATER PHOENIX LLC
Active
Other names
Pharmcare USA of Greater Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
BARNEY KENT ABBOTT (PRESIDENT)
(405) 663-4111
Entity
Organization
Contact information
Practice address
4100 E BROADWAY RD, PHOENIX, AZ 85040-8843
(602) 438-9301
(855) 937-0794
Mailing address
PO BOX 10, HYDRO, OK 73048-0010
(602) 438-9301
(855) 937-0794
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y006685
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110405
—
AZ
01
—
2157542
PK
—
Enumeration date
02/05/2016
Last updated
10/10/2022
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