Organization
NEWSPRING PHARMACY LLC
Active
Other names
NewSpring Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LUCAS NYABERO (C.E.O)
(623) 552-8119
Entity
Organization
Contact information
Practice address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
(623) 932-9800
(623) 932-9817
Mailing address
14362 N FRANK LLOYD WRIGHT BLVD, SUITE 1000, SCOTTSDALE, AZ 85260-8846
(623) 552-6848
(623) 552-6957
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y005594
AZ
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139376
PK
—
05
—
803839
—
AZ
Enumeration date
03/11/2013
Last updated
08/04/2016
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