Organization
COPILOT PROVIDER SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES ASTRID PERALTA LIZARRAGA (PHARMACIST IN CHARGE)
(855) 272-1128
Entity
Organization
Contact information
Practice address
8700 E PINNACLE PEAK RD STE 120, SCOTTSDALE, AZ 85255-3586
(480) 691-2000
(480) 691-2001
Mailing address
8700 E PINNACLE PEAK RD STE 120, SCOTTSDALE, AZ 85255-3586
(480) 691-2000
(480) 691-2001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/07/2024
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