Sedona Compounding Pharmacy
LBN: Big Park Pharmacy Llc
Sedona Compounding Pharmacy is an health care organization with primary practice located at 3150 W State Route 89A Ste 5 , Sedona AZ 86336-4924. 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.
Big Park Pharmacy Llc can be contacted via phone (928) 284-9593, or through Huser, Gregg via phone (602) 740-0451.
Contact Information
Primary practice address
3150 W State Route 89A Ste 5
Sedona AZ 86336-4924
Phone: (928) 284-9593
Fax: (928) 284-9605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | Y02989 | Arizona |
Profile Details
| NPI number | 1336335058 |
|---|---|
| LBN Legal business name | Big Park Pharmacy Llc |
| DBA Doing business as | Sedona Compounding Pharmacy |
| Authorized official | Huser, Gregg RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2007 |
| Last updated | May 25th, 2011 - about 15 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 | 1336335058 | NPPES |
| Other | 0323129 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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