Healthcare Provider Details

I. General information

NPI: 1568308310
Provider Name (Legal Business Name): MEDISTAR HEALTHCARE CONNECTIONS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3770 N 7TH ST
PHOENIX AZ
85014-5022
US

IV. Provider business mailing address

3770 N 7TH ST
PHOENIX AZ
85014-5022
US

V. Phone/Fax

Practice location:
  • Phone: 602-337-5707
  • Fax:
Mailing address:
  • Phone: 602-337-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. INI AKPABIO
Title or Position: CEO
Credential:
Phone: 602-337-5707