Organization
DESERT PHARMACY LLC
Active
Other names
Desert Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE AUGONE (ADMIN)
(954) 829-9417
Entity
Organization
Contact information
Practice address
1343 N ALMA SCHOOL RD STE 155, CHANDLER, AZ 85224-5901
(954) 829-9417
Mailing address
1343 N ALMA SCHOOL RD, SUITE 160, CHANDLER, AZ 85224-5941
(480) 529-8365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006117
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153365
PK
—
Enumeration date
09/30/2015
Last updated
09/30/2015
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