Paradise Valley Compounding Pharmacy LLC
NPI #1518610278 in Paradise Valley, Arizona
Provider Information
- NPI Number
- 1518610278
- Entity Type
- Organization
- Organization Name
- Paradise Valley Compounding Pharmacy LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Feb 1, 2022
- Last Updated
- Feb 1, 2022
Practice Location
- Address
- 5410 N SCOTTSDALE RD STE A400
- City
- Paradise Valley
- State
- Arizona
- ZIP Code
- 85253-5963
- Phone
- (623) 200-3000
Authorized Official
- Name
- PATTIYA WATTANANIMITGUL
- Title
- PIC
- Phone
- (623) 200-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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