Organization
SMARTPRACTICE ALLERGEN BANK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KAY COOPMAN RPH (PHARMACIST IN CHARGE)
(602) 225-0595
Entity
Organization
Contact information
Practice address
3400 E MCDOWELL RD, PHOENIX, AZ 85008-3884
(602) 225-0595
(602) 225-0599
Mailing address
3400 E MCDOWELL RD, PHOENIX, AZ 85008-3884
(602) 225-0595
(602) 225-0599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
Y005653
AZ
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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