Maryvale Pharmacy Inc in Phoenix - Compounding Pharmacy
Maryvale Pharmacy Inc - NPI 1669483236
Maryvale Pharmacy Inc is a Compounding Pharmacy in Phoenix, Arizona. Maryvale Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Maryvale Pharmacy Inc is 1669483236. The last update date is 2016-06-08.
Maryvale Pharmacy Inc's current location address is 4700 N 51st Ave Ste 1, Phoenix, Arizona. You can contact this provider via phone number 6238461888 and fax number 6238488202. The mailing address for Maryvale Pharmacy Inc is 4700 N 51st Ave Ste 1, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maryvale Pharmacy Inc |
|---|---|
| Address | 4700 N 51st Ave Ste 1, Phoenix, Arizona |
| Phone Number | 6238461888 |
| Fax Number | 6238488202 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bates Richard |
| Credentials | BS CHE BSP |
| Telephone Number | 6238461888 |
NPI Number Detail
| NPI Number | 1669483236 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2016-06-08 |
Provider Mailing Address Detail
| Address | 4700 N 51st Ave Ste 1 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850311237 |
| Phone Number | 6238461888 |
| Fax Number | 6238488202 |
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 |
|---|---|---|---|
| 1997277 | PK | ||
| 380379 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Maryvale Pharmacy Inc?
The Maryvale Pharmacy Inc has been issued the NPI (National Provider Identifier) 1669483236 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Maryvale Pharmacy Inc's facilities are geographically located?
The facilities of Maryvale Pharmacy Inc are physically situated at the following location: 4700 N 51St Ave Ste 1, Phoenix, AZ, 850311237.
What is Maryvale Pharmacy Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Maryvale Pharmacy Inc is Compounding Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669483236 to Maryvale Pharmacy Inc?
The Centers for Medicare & Medicaid Services originally issued the 1669483236 to Maryvale Pharmacy Inc on 2006-08-10.
When was the information regarding Maryvale Pharmacy Inc most recently updated?
The details pertaining to the Maryvale Pharmacy Inc, including its address, specialty, and other relevant information, were last refreshed on 2016-06-08.
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