Healthcare Provider Details

I. General information

NPI: 1205575875
Provider Name (Legal Business Name): ARMSTRONG MEPHORS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 E GREENWAY PKWY
PHOENIX AZ
85032-3591
US

IV. Provider business mailing address

2333 E GELDING DR
PHOENIX AZ
85022-6113
US

V. Phone/Fax

Practice location:
  • Phone: 602-996-0266
  • Fax:
Mailing address:
  • Phone: 951-293-8011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberI025319
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: