Whalio Doctors

NPI 1073709119

Ave Maria Pharmacy P.L.L.C.

Organisation Compounding Pharmacy Prescott, AZ

Practice location

Address
1945 Commerce Center Cir STE C, Prescott, AZ 86301-7411
Phone
(928) 772-8674
Fax
(928) 772-8413

Authorised official

Name
Patrick McNerney
Title
Owner
Phone
(928) 772-8674

Registered specialties (3)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X Licence Y004887 (AZ)
Pharmacy
Suppliers Taxonomy 333600000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1073709119
Entity type
Organization
NPI issued
21 Sep 2007
Record last updated
28 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.