Healthcare Provider Details

I. General information

NPI: 1063390540
Provider Name (Legal Business Name): ANTHONY MICHAEL MUSIL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2025
Last Update Date: 08/23/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5835 W INDIAN SCHOOL RD
PHOENIX AZ
85031-2420
US

IV. Provider business mailing address

11436 N 61ST DR
GLENDALE AZ
85304-3222
US

V. Phone/Fax

Practice location:
  • Phone: 623-247-4030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027603
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: