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CAMELBACK VILLAGE PHARMACY INC NPI 1093820011


NPI Information

NPI: 1093820011
Provider Name: CAMELBACK VILLAGE PHARMACY INC

Doing Business As: CAMELBACK COMPOUNDING PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4416 E CAMELBACK RD
PHOENIX, AZ
ZIP 85018
Phone: (602) 955-2880
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CAMELBACK VILLAGE PHARMACY INC is a community/retail pharmacy pharmacy in Phoenix, AZ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CAMELBACK VILLAGE PHARMACY INC NPI is 1093820011. The provider is registered as an organization entity type.
The provider Is Doing Business As Camelback Compounding Pharmacy.

The provider's business location address is:

4416 E CAMELBACK RD
PHOENIX, AZ
ZIP 85018-824
Phone: (602) 955-2880
Fax: (602) 956-3784

The provider's authorized official is Dennis Meyers .
The authorized official title is President and has the following contact phone number (602) 840-1111.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 5/17/2016.


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 PharmacyY02307ARIZONAYes

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
10313825OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2242066MEDICAIDARIZONA

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

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