AVE MARIA PHARMACY P.L.L.C. NPI 1073709119

NPI Information

AVE MARIA PHARMACY P.L.L.C. is a compounding pharmacy pharmacy in Prescott, 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. AVE MARIA PHARMACY P.L.L.C. NPI is 1073709119. The provider is registered as an organization entity type.
The provider Is Doing Business As Ave Maria Pharmacy Pllc.

The provider's business location address is:

1945 COMMERCE CENTER CIR
STE C
PRESCOTT, AZ
ZIP 86301-411
Phone: (928) 772-8674
Fax: (928) 772-8413

The provider's authorized official is Patrick Mcnerney .
The authorized official title is Owner and has the following contact phone number (928) 772-8674.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 4/28/2017.

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:

Other Identifiers

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

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