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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1285645853 | NPPES |
| Other | 0326137 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 946014 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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