NPI | 1083081343 |
---|---|
Doing Business As | PHARMBLUE ARIZONA LLC |
Entity Type | Organization |
Authorized Contact | JOSEPH POHL III Chief Executive Officer 724-779-4720 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006522) |
Additional Taxonomies | 333600000X Pharmacy (Licence: NM PH00004249) |
3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 31221) | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2015-08-21 |
Last Update Date | 2018-12-14 |