Pharx2, PLLC
Pharmacy, Compounding Pharmacy in Prescott, AZ. Organization (NPI-2).
NPI number1013595909
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1013595909
- Entity type
- Organization (NPI-2)
- Legal business name
- Pharx2, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 9, 2021
- Last updated
- Mar 31, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | Yes |
Other names
- Prescott Compounding Pharmacy (Doing Business As)
Practice location
1841 E. Hwy 69Suite 104
Prescott, AZ 86301
Phone 928-515-2354
Mailing address
1841 E. Hwy 69Suite 104
Prescott, AZ 86301
Phone 928-515-2354
Authorized official
Jimmy Stevens
Pharmacist In Charge
9285152354
Is something wrong?
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