Healthcare Provider Details

I. General information

NPI: 1194183582
Provider Name (Legal Business Name): METIER PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 E INDIAN SCHOOL RD
PHOENIX AZ
85018-5114
US

IV. Provider business mailing address

4214 E INDIAN SCHOOL RD STE 103
PHOENIX AZ
85018-5339
US

V. Phone/Fax

Practice location:
  • Phone: 602-899-6960
  • Fax: 602-899-6961
Mailing address:
  • Phone: 602-899-6960
  • Fax: 602-899-6961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberY006753
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN HOUSE
Title or Position: OWNER, PIC, AO
Credential: RPH
Phone: 602-899-6960