| NPI | 1578806394 |
|---|---|
| Doing Business As | PRESCOTT COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGG A HUSER Pharmacist 928-515-2354 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ 5550) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2019-08-21 |