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COMMUNITY DRUGSTORE II LLC

Medical Equipment Supplier Yellow Pages

Mesa, Arizona

Provider NPI: 1306033881

Organization Information:
Organization Name:  COMMUNITY DRUGSTORE II LLC


Practice Location:
777 W SOUTHERN AVE 415 MESA, AZ 85210 US
Tel: 480-464-5472  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
AZY004893

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER035502501
263561AZ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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