Docrx Dispense, INC.
Non-Pharmacy Dispensing Site in Mesa, AZ. Organization (NPI-2).
NPI number1013336635
StatusActive
Last updated in NPPESApr 10, 2014
Details
- NPI
- 1013336635
- Entity type
- Organization (NPI-2)
- Legal business name
- Docrx Dispense, INC.
- Organization subpart
- No
- Enumeration date
- Apr 10, 2014
- Last updated
- Apr 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
3544 E Southern AveNo. 104 Unit 121
Mesa, AZ 85204-5672
Phone 480-367-5495 · Fax 480-367-5497
Mailing address
3544 E Southern AveNo. 104 Unit 121
Mesa, AZ 85204-5672
Phone 480-367-5495 · Fax 480-367-5497
Authorized official
Martin Olson
President
4803675495
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