Avella Of Chandler, Inc in Phoenix - Compounding Pharmacy

Avella Of Chandler, Inc - NPI 1720083462

Avella Of Chandler, Inc is a Compounding Pharmacy in Phoenix, Arizona. Avella Of Chandler, Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Avella Of Chandler, Inc is 1720083462. The last update date is 2013-04-30.

Avella Of Chandler, Inc's current location address is 1606 W Whispering Wind Dr, Phoenix, Arizona. You can contact this provider via phone number 6234341700 and fax number 6234343673. The mailing address for Avella Of Chandler, Inc is 1606 W Whispering Wind Dr, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Avella Of Chandler, Inc
Address 1606 W Whispering Wind Dr, Phoenix, Arizona
Phone Number 6234341700
Fax Number 6234343673
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Musil D John
Credentials PHARMD
Telephone Number 6234343657

NPI Number Detail

NPI Number 1720083462
Provider Enumeration Date 2005-06-17
Last Updated Date 2013-04-30

Provider Mailing Address Detail

Address 1606 W Whispering Wind Dr
City Phoenix
State Arizona (AZ)
Post Code 8508506780
Phone Number 6234341700
Fax Number 6234343673

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Licence No Y005093
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
566515 AZ --
324157 NCPDP

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FAQs about Avella Of Chandler, Inc

What is the unique identifier code issued to Avella Of Chandler, Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Avella Of Chandler, Inc has been assigned the NPI (National Provider Identifier) 1720083462. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Avella Of Chandler, Inc's facilities are situated?

The facilities of Avella Of Chandler, Inc are physically located at the following address: 1606 W Whispering Wind Dr, Phoenix, AZ, 8508506780.

What is the Avella Of Chandler, Inc's specialty and taxonomy code?

The Avella Of Chandler, Inc's specialty is Compounding Pharmacy, and the corresponding taxonomy code is 3336C0004X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720083462 to Avella Of Chandler, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1720083462 to Avella Of Chandler, Inc on 2005-06-17.

When was the information related to Avella Of Chandler, Inc most recently updated or refreshed?

The details pertaining to the Avella Of Chandler, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-30.

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