Healthcare Provider Details

I. General information

NPI: 1033073796
Provider Name (Legal Business Name): PROJECT NEW GENERATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9029 N 51ST AVE
GLENDALE AZ
85302-4210
US

IV. Provider business mailing address

9029 N 51ST AVE
GLENDALE AZ
85302-4210
US

V. Phone/Fax

Practice location:
  • Phone: 480-729-9294
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GEORGE GUERRERO
Title or Position: MANAGER
Credential:
Phone: 602-391-5038