Healthcare Provider Details

I. General information

NPI: 1437408085
Provider Name (Legal Business Name): CAREFREE COMPOUNDING & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34975 N NORTH VALLEY PARKWAY STE 130
PHOENIX AZ
85086
US

IV. Provider business mailing address

34975 N NORTH VALLEY PARKWAY STE 130
PHOENIX AZ
85086
US

V. Phone/Fax

Practice location:
  • Phone: 623-806-1300
  • Fax: 623-806-1304
Mailing address:
  • Phone: 623-806-1300
  • Fax: 623-806-1304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH03198
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberNRP-1857
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberY005524
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number9108264-1708
License Number StateUT
# 6
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH00003709
License Number StateNM
# 7
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberNR-51159
License Number StateWY
# 8
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberNR-51159
License Number StateWI
# 9
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberOSP.0006485
License Number StateCO
# 10
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 11
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MS. LORICA KAY YOCKEY
Title or Position: PHARMACIST IN CHARGE
Credential: PHARM D.
Phone: 623-806-1300