Healthcare Provider Details

I. General information

NPI: 1841121571
Provider Name (Legal Business Name): WEST EGG PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 E ROSE GARDEN LN STE 5&6
PHOENIX AZ
85050-4612
US

IV. Provider business mailing address

2640 E ROSE GARDEN LN STE 5&6
PHOENIX AZ
85050-4612
US

V. Phone/Fax

Practice location:
  • Phone: 833-623-7022
  • Fax:
Mailing address:
  • Phone: 833-623-7022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHLOE BELLE HOOTON
Title or Position: CEO
Credential:
Phone: 833-623-7022