Mortar & Pestle

LBN: Mortar And Pestle
Mortar & Pestle is an health care organization with primary practice located at 2708 N 4Th St Ste C-2 , Flagstaff AZ 86004-1829. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Mortar And Pestle can be contacted via phone (928) 526-2446, or through Driebe, Lauren via phone (928) 526-2446.

Contact Information

Primary practice address
2708 N 4Th St Ste C-2 Flagstaff AZ 86004-1829
Phone: (928) 526-2446
Fax: (928) 526-2245
Website:
Map and Directions
Authorized official contact:
Name: Driebe, Lauren
Phone: (928) 526-2446

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X Y005140 Arizona

Profile Details

NPI number 1427288950
LBN Legal business name Mortar And Pestle
DBA Doing business as Mortar & Pestle
Authorized official Driebe, Lauren
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2009
Last updated Oct 14th, 2010 - about 14 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 1427288950 NPPES
Other 0356279 NCPDP PROVIDER IDENTIFICATION NUMBER

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