Organization
AZ MIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA M BEOUGHER PHARMD (OWNER)
(480) 650-2235
Entity
Organization
Contact information
Practice address
2501 WEST BEHREND DRIVE A-11, PHOENIX, AZ 85027-8502
(602) 975-6241
(602) 975-6247
Mailing address
2501 W BEHREND DR # A-11, PHOENIX, AZ 85027-4146
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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