Mixtures Pharmacy Llc

LBN: Mixtures Pharmacy Llc
Mixtures Pharmacy Llc is an health care organization with primary practice located at 16515 S 40Th St Ste 123 , Phoenix AZ 85048-0559. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mixtures Pharmacy Llc can be contacted via phone (480) 706-0620, or through Allen, Lori via phone (480) 706-0620.

Contact Information

Primary practice address
16515 S 40Th St Ste 123 Phoenix AZ 85048-0559
Phone: (480) 706-0620
Fax: (480) 706-0489
Website:
Map and Directions
Authorized official contact:
Name: Allen, Lori RPH
Phone: (480) 706-0620

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X YO3896 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X 3896 Arizona
Suppliers / Compounding Pharmacy 3336C0004X 3986 Arizona

Profile Details

NPI number 1295887552
LBN Legal business name Mixtures Pharmacy Llc
DBA Doing business as
Authorized official Allen, Lori RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Apr 28th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295887552 NPPES
Arizona MEDICAID 1295887552

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