Healthcare Provider Details

I. General information

NPI: 1275088007
Provider Name (Legal Business Name): MEDICAL METRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 08/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4995 S ALMA SCHOOL RD STE 4
CHANDLER AZ
85248-5647
US

IV. Provider business mailing address

4995 S ALMA SCHOOL RD STE 4
CHANDLER AZ
85248-5647
US

V. Phone/Fax

Practice location:
  • Phone: 480-883-3800
  • Fax: 480-452-1138
Mailing address:
  • Phone: 480-883-3800
  • Fax: 480-452-1138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberY005810
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR FROILAND
Title or Position: OWNER/MEMBER
Credential:
Phone: 480-329-3877