Avella Of Grayhawk, Inc. in Phoenix - Compounding Pharmacy

Avella Of Grayhawk, Inc. - NPI 1376548016

Avella Of Grayhawk, Inc. is a Compounding Pharmacy in Phoenix, Arizona. Avella Of Grayhawk, Inc. practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Avella Of Grayhawk, Inc. is 1376548016. The last update date is 2013-04-30.

Avella Of Grayhawk, 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 Grayhawk, Inc. is 1606 W Whispering Wind Dr, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Avella Of Grayhawk, 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
Telephone Number 6234343657

NPI Number Detail

NPI Number 1376548016
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
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
324967 NCPDP PROVIDER IDENTIFICATION
557952 AZ --

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FAQs about Avella Of Grayhawk, Inc.

What is the unique 10-digit identification code assigned to Avella Of Grayhawk, Inc. by the Centers for Medicare & Medicaid Services?

The Avella Of Grayhawk, Inc. has been issued the NPI (National Provider Identifier) 1376548016, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Avella Of Grayhawk, Inc. is located?

The Avella Of Grayhawk, Inc. is situated at the following address: 1606 W Whispering Wind Dr, Phoenix, AZ, 8508506780.

What is Avella Of Grayhawk, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Avella Of Grayhawk, Inc. is Compounding Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0004X.

On what date did the Avella Of Grayhawk, Inc. receive the assignment of its 1376548016 from the Centers for Medicare & Medicaid Services?

The Avella Of Grayhawk, Inc. was issued its 1376548016 by the Centers for Medicare & Medicaid Services on 2005-06-17.

As of what date was the information pertaining to Avella Of Grayhawk, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Avella Of Grayhawk, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-04-30.

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