Organization
KRUSKAMD MURRILLO INC
Active
Organization
KRUSKAMD MURRILLO INC
Active
Other names
FAIRMONT UNITED DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ROLLER (PRES)
(602) 275-5719
Entity
Organization
Contact information
Practice address
1617 N 32ND ST, STE 5, PHOENIX, AZ 85008-3849
(602) 275-5719
(602) 392-0556
Mailing address
10810 E VIA LINDA, STE 104, SCOTTSDALE, AZ 85259-3909
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y02936
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031170
—
AZ
01
—
0320313
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/07/2006
Last updated
02/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up