Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DEMUTH (PHARMACY MANAGER)
(219) 680-9172
Entity
Organization
Contact information
Practice address
5835 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2420
(623) 247-4030
Mailing address
5835 W INDIAN SCHOOL RD, PHOENIX, AZ 85031-2420
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
S016620
AZ
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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