NPI 1548408230

Community Drug Store, LLC

Organisation Community/Retail Pharmacy Prescott Valley, AZ

Practice location

Address: 3050 N Windsong Dr Suite 103, Prescott Valley, AZ 86314-2265
Phone: (480) 575-1103
Mailing address: 7305 E Visao Dr, Scottsdale, AZ 85266-2707

Authorised official

Name: Jeffrey Gubernick
Title: Owner
Phone: (480) 575-1103

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence Y005106 (AZ)

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Registry record

NPI: 1548408230
Entity type: Organization
NPI issued: 3 Feb 2009
Record last updated: 3 Feb 2009

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.