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NPI Code Detail

MEDICARE: AMERICAN PREMIER PHARMACY LLC

MEDICARE: AMERICAN PREMIER PHARMACY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251F00000XHome Infusion Agency
23336H0001XHome Infusion Therapy Pharmacy
33336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1356842181
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN PREMIER PHARMACY LLC
Provider Business Mailing Address
First Line : 11070 N 24TH AVE STE 150
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4705
Country : US
Telephone Number : 602-795-8664
Fax Number : 602-795-8665
Provider Business Practice Location Address
First Line : 11070 N 24TH AVE STE 150
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4705
Country : US
Telephone Number : 602-795-8664
Fax Number : 602-795-8665
Authorized Official
Title or Position : CEO
Name : DR. GUY SIMON FRASER HENDERSON
Credential : PHARMD
Telephone Number : 602-795-8664
Provider Enumeration Date : 02/27/2018
Last Update Date : 12/11/2023

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Directions to “AMERICAN PREMIER PHARMACY LLC ” Practice Location

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