Organization
MAYO CLINIC ARIZONA
Active
Organization
MAYO CLINIC ARIZONA
Active
Other names
Mayo Clinic Hospital Out Patient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JACKSON (CFO)
(480) 574-3055
Entity
Organization
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-0881
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4044
AZ
3336C0002X
Clinic Pharmacy
4044
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912867
—
AZ
Enumeration date
01/30/2006
Last updated
04/16/2026
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