Healthcare Provider Details

I. General information

NPI: 1134407380
Provider Name (Legal Business Name): ERIC ANTHONY ALDEN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4344 W INDIAN SCHOOL RD STE 16
PHOENIX AZ
85031-2985
US

IV. Provider business mailing address

4344 W INDIAN SCHOOL RD STE 16
PHOENIX AZ
85031-2985
US

V. Phone/Fax

Practice location:
  • Phone: 602-258-6797
  • Fax:
Mailing address:
  • Phone: 602-258-6797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS018607
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: