Healthcare Provider Details

I. General information

NPI: 1831835081
Provider Name (Legal Business Name): PHARVESTRX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 N SCOTTSDALE RD STE 221
SCOTTSDALE AZ
85251-5649
US

IV. Provider business mailing address

18245 N PIMA RD APT 3025
SCOTTSDALE AZ
85255-6372
US

V. Phone/Fax

Practice location:
  • Phone: 480-422-8510
  • Fax: 480-422-8512
Mailing address:
  • Phone: 480-886-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: GREG WREN
Title or Position: PARTNER
Credential:
Phone: 480-886-8500