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CIVIC CENTER PHARMACY LLC NPI 1649281213


NPI Information

NPI: 1649281213
Provider Name: CIVIC CENTER PHARMACY, LLC

Doing Business As: CIVIC CENTER PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

CLIA Number: 03D2184216

Address:
7331 E OSBORN DR
SCOTTSDALE, AZ
ZIP 85251
Phone: (480) 945-9519
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CIVIC CENTER PHARMACY, LLC is a compounding pharmacy pharmacy in Scottsdale, AZ. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. CIVIC CENTER PHARMACY, LLC NPI is 1649281213. The provider is registered as an organization entity type.
The provider Is Doing Business As Civic Center Pharmacy.

The provider's business location address is:

7331 E OSBORN DR
SCOTTSDALE, AZ
ZIP 85251-435
Phone: (480) 945-9519
Fax: (480) 275-7812

The provider's authorized official is Austin Christopher Murphy .
The authorized official title is Vp/secretary/manager and has the following contact phone number (305) 808-9838.

The CLIA number assigned to this NPI record is 03D2184216 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 4/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y009666OTHERARIZONASTATE BOARD OF PHARMACY LICENSE
21988982OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.