Organization
FOOTHILLS PROFESSIONAL PHARMACY LTD
Active
Other names
FOOTHILLS PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PUJAN PATEL (PRESIDENT)
(480) 496-4444
Entity
Organization
Contact information
Practice address
2727 W BASELINE RD STE 1, TEMPE, AZ 85283-1068
(480) 496-4444
(480) 496-4450
Mailing address
2727 W BASELINE RD STE 1, TEMPE, AZ 85283-1068
(480) 496-4444
(480) 496-4450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y007500
AZ
3336C0004X
Compounding Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991928
PK
—
05
—
959885
—
AZ
Enumeration date
11/21/2006
Last updated
12/13/2024
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