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Community Drugstore Ii Llc
Compounding Pharmacy in Mesa, Arizona
NPI 1306033881

Community Drugstore Ii Llc is a Compounding Pharmacy based in Scottsdale, AZ and is specialized in Compounding Pharmacy. Community Drugstore Ii Llc practices in Mesa, AZ. The NPI Number for Community Drugstore Ii Llc is 1306033881 and holds a License No. (Arizona).

The current practice location address for Community Drugstore Ii Llc is 777 W Southern Ave, Mesa, AZ and can be reached out via phone at 480-464-5472 and via fax at 480-464-5485.

Location: 777 W Southern Ave, Mesa, AZ, 85260-6958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306033881
Provider Name
Community Drugstore Ii Llc
Credential
Provider Entity Type
Organization
Address
777 W Southern Ave, Mesa, AZ, 85260-6958
Phone Number
480-464-5472
Fax Number
480-464-5485
Provider Enumeration Date
09/28/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263561 05 AZ
0355025 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
777 W Southern Ave
City
Mesa
State
Arizona
Zip
85210-5008
Phone Number
480-464-5472
Fax Number
480-464-5485
person
Provider Business Mailing Address Details
Address
777 W Southern Ave
City
Mesa
State
Arizona
Zip
85210-5008
Phone Number
480-464-5472
Fax Number
480-464-5485
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
Y004893 (Arizona)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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