Organization Name: | WOMEN'S INTERNATIONAL PHARMACY |
NPI Number: | 1629124698 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER PUCILLO (PIC) |
Mailing Address: | 12012 N 111th Ave Youngtown |
State: | AZ US |
Postal Code: | 853631339 |
Phone Number: | 8002795708 |
Fax Number: | 8002798011 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | 2741 |
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 |