Organization
MAYO PHARMACY SCOTTSDALE IV
Active
Other names
MAYO PHARMACY SCOTTSDALE IV
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE GROVER (SUPV-PHARMACIST)
(480) 301-7650
Entity
Organization
Contact information
Practice address
13400 E SHEA BLVD, 3RD FLOOR - ROOM # 306E, SCOTTSDALE, AZ 85259-5452
(480) 301-7650
(480) 301-9008
Mailing address
13400 E SHEA BLVD, 3RD FLOOR - ROOM # 306E, SCOTTSDALE, AZ 85259-5452
(480) 301-7650
(480) 301-9008
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y002857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146432
PK
—
Enumeration date
06/24/2014
Last updated
06/24/2014
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