White Nile
Pharmacy in Phoenix, AZ. Organization (NPI-2).
NPI number1366041501
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1366041501
- Entity type
- Organization (NPI-2)
- Legal business name
- White Nile
- Organization subpart
- No
- Enumeration date
- Oct 20, 2020
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Other names
- Bristol Pharmacy (Doing Business As)
Practice location
4338 W Thomas Rd Unit E5Phoenix, AZ 85031-3878
Phone 484-620-3937
Mailing address
11034 N 28th Dr Unit 308Phoenix, AZ 85029-4380
Phone 484-620-3937
Authorized official
Kamal K Saeid
Pharmacist In Charge
4846203937
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