Organization
CARESITE PHARMACY OF AZ LLC
Active
Other names
CARESITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MESSINA (PRESIDENT)
(602) 253-7483
Entity
Organization
Contact information
Practice address
1300 N 12TH ST, STE 555, PHOENIX, AZ 85006-2848
(602) 253-7483
(602) 253-8135
Mailing address
CARESITE PHARMACY OF AZ LLC, PO BOX 822646, PHILADELPHIA, PA 19182-2646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4361
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353196
OTHER ID NUMBER
—
05
—
998007
—
AZ
Enumeration date
08/10/2006
Last updated
10/25/2007
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