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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