Community Clinical Pharmacy

LBN: Apoteka Compounding Llc
Community Clinical Pharmacy is an health care organization with primary practice located at 2045 S Vineyard Ste 133 , Mesa AZ 85210-6893. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Apoteka Compounding Llc can be contacted via phone (480) 969-0600, or through Kaniski, Kristian via phone (480) 969-0600.

Contact Information

Primary practice address
2045 S Vineyard Ste 133 Mesa AZ 85210-6893
Phone: (480) 969-0600
Fax: (480) 969-0712
Website:
Map and Directions
Authorized official contact:
Name: Kaniski, Kristian PHARMD
Phone: (480) 969-0600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X Y03824 Arizona
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1194736777
LBN Legal business name Apoteka Compounding Llc
DBA Doing business as Community Clinical Pharmacy
Authorized official Kaniski, Kristian PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 10th, 2022 - about 4 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 1194736777 NPPES
Arizona MEDICAID 837734
Arizona Other 1991673

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