Organization
WILLAMETTE PHARMACY LLC
Active
Other names
Bodysphere Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BUD ADAMS PHARMACY MANAGER (MANAGER)
(360) 772-9649
Entity
Organization
Contact information
Practice address
10720 W INDIAN SCHOOL RD STE 53, PHOENIX, AZ 85037-5724
(800) 604-3294
Mailing address
10720 W INDIAN SCHOOL RD STE 53, PHOENIX, AZ 85037-5724
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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