Organization
PHARMACY LLC
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ARMINE KOZAKYAN (MEMBER)
(480) 223-0833
Entity
Organization
Contact information
Practice address
10290 N 92ND ST STE 101, SCOTTSDALE, AZ 85258-4508
(480) 889-4392
Mailing address
10290 N 92ND ST STE 101, SCOTTSDALE, AZ 85258-4508
(480) 889-4392
(480) 687-2237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y008029
STATE BOARD OF PHARMACY PERMIT
AZ
Enumeration date
02/19/2019
Last updated
11/10/2020
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