| Organization Name: | KIERNAN APOTHECARIES PLLC |
| NPI Number: | 1457669566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID KIERNAN (PHARMACIST IN CHARGE) |
| Mailing Address: | 10565 N Tatum Blvd B 118 Paradise Valley |
| State: | AZ US |
| Postal Code: | 852531095 |
| Phone Number: | 4809487065 |
| Fax Number: | 4809489489 |
| NPI Enumeration Date: | 09/23/2010 |
| NPI Last Update Date: | 10/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | Y005948 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |