Payson Apothecary Pharmacy

LBN: Payson Apothecary Pharmacy Llc
Payson Apothecary Pharmacy is an health care organization with primary practice located at 201 W Main St Suite D, Payson AZ 85541-5441. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Payson Apothecary Pharmacy Llc can be contacted via phone (928) 468-8299, or through Mathews, Craig via phone (928) 468-8299.

Contact Information

Primary practice address
201 W Main St Suite D Payson AZ 85541-5441
Phone: (928) 468-8299
Fax: (928) 468-8322
Website:
Map and Directions
Authorized official contact:
Name: Mathews, Craig
Phone: (928) 468-8299

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y004258 Arizona

Profile Details

NPI number 1285645853
LBN Legal business name Payson Apothecary Pharmacy Llc
DBA Doing business as Payson Apothecary Pharmacy
Authorized official Mathews, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 13th, 2012 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285645853 NPPES
Other 0326137 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 946014 NCPDP PROVIDER IDENTIFICATION NUMBER

Popular Providers