Organization
COMMUNITY CLINICAL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN COHEN PHARMD (PHARMACIST-IN-CHARGE)
(480) 969-0600
Entity
Organization
Contact information
Practice address
2045 S VINEYARD STE 133, MESA, AZ 85210-6893
(480) 969-0600
(480) 969-0712
Mailing address
2045 S VINEYARD STE 133, MESA, AZ 85210-6893
(480) 969-0600
(480) 969-0712
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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