Organization
MIDWESTERN UNIVERSITY
Active
Other names
MIDWESTERN UNIVERSITY CLINIC PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J SWEENEY (VP & CFO)
(630) 515-7307
Entity
Organization
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6198
(623) 537-6191
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6198
(623) 537-6191
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
4796
AZ
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0354946
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/10/2007
Last updated
03/02/2023
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