| NPI | 1013595909 |
|---|---|
| Doing Business As | PRESCOTT COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIMMY STEVENS Pharmacist In Charge 928-515-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-03-31 |