Apothecary Shop Of Phoenix, Inc
LBN: Apothecary Shop Of Phoenix, Inc
Apothecary Shop Of Phoenix, Inc is an health care organization with primary practice located at 1701 E Thomas Rd Ste 203 , Phoenix AZ 85016-7674. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Apothecary Shop Of Phoenix, Inc can be contacted via phone (602) 252-6120, or through Musil, John via phone (623) 434-3657.
Contact Information
Primary practice address
1701 E Thomas Rd Ste 203
Phoenix AZ 85016-7674
Phone: (602) 252-6120
Fax: (602) 252-6127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y005087 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1003806050 |
|---|---|
| LBN Legal business name | Apothecary Shop Of Phoenix, Inc |
| DBA Doing business as | Apothecary Shop Of Phoenix, Inc |
| Authorized official | Musil, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Feb 7th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003806050 | NPPES |
| Arizona | MEDICAID | 474601 | |
| Arizona | Other | 0320212 |
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