Healthcare Provider Details

I. General information

NPI: 1033715271
Provider Name (Legal Business Name): HAND IN HAND PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 W CHANDLER BLVD STE 3
CHANDLER AZ
85224-6176
US

IV. Provider business mailing address

4148 S BEVERLY CT
CHANDLER AZ
85248-2399
US

V. Phone/Fax

Practice location:
  • Phone: 480-534-7537
  • Fax: 480-534-7912
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JI YOUNG KIM
Title or Position: OWNER
Credential:
Phone: 314-698-3157