Camelback Compounding Pharmacy
LBN: Camelback Village Pharmacy Inc
Camelback Compounding Pharmacy is an health care organization with primary practice located at 4416 E Camelback Rd , Phoenix AZ 85018-2824. 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.
Camelback Village Pharmacy Inc can be contacted via phone (602) 955-2880, or through Meyers, Dennis via phone (602) 840-1111.
Contact Information
Primary practice address
4416 E Camelback Rd
Phoenix AZ 85018-2824
Phone: (602) 955-2880
Fax: (602) 956-3784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y02307 | Arizona |
Profile Details
| NPI number | 1093820011 |
|---|---|
| LBN Legal business name | Camelback Village Pharmacy Inc |
| DBA Doing business as | Camelback Compounding Pharmacy |
| Authorized official | Meyers, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 17th, 2016 - about 10 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 | 1093820011 | NPPES |
| Other | 0313825 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 242066 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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