APOTHECARY SHOP OF PHOENIX, INC
1701 E Thomas Rd Ste 203
Phoenix, AZ 85016
602-252-6120
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 3336S0011X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | AZ | Y005087 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0320212 | OTHER | |
474601 | AZ | MEDICAID |