Avella of Phoenix Ii, Inc.

NPI #1366447005 in Phoenix, Arizona

Provider Information

NPI Number
1366447005
Entity Type
Organization
Organization Name
Avella of Phoenix Ii, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
APOTHECARY HOLDINGS, INC.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 17, 2005
Last Updated
Sep 11, 2012

Practice Location

Address
5040 N 15TH AVE STE 102
State
Arizona
ZIP Code
85015-3329
Phone
(602) 277-3181

Authorized Official

Name
JOHN D MUSIL
Title
CEO
Phone
(623) 434-3657

Specialties & Taxonomy Codes

Specialty
Pharmacy - Specialty PharmacySpecialty Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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