Organization
CAMELBACK COMPOUNDERS LLC
Active
Other names
Camelback Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACE ANTHONY CLARK PHARMD (OWNER/PHARMACIST)
(602) 840-1111
Entity
Organization
Contact information
Practice address
4416 E CAMELBACK RD, PHOENIX, AZ 85018-2824
(602) 840-1111
(602) 840-0111
Mailing address
4416 E CAMELBACK RD, PHOENIX, AZ 85018-2824
(602) 840-1111
(602) 840-0111
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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