| NPI | 1659703460 |
|---|---|
| Doing Business As | MIXTURES PHARMACY & COMPOUNDING CENTER GILBERT |
| Entity Type | Organization |
| Authorized Contact | LORI LYNN ALLEN President 480-226-1946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ y005671) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2022-04-29 |