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North Valley Compounding Pharmacy

NPI Registration Record

Provider / OrganizationNPIDate Certified
NORTH VALLEY COMPOUNDING PHARMACY11044243812020-10-11
Entity TypeOrganization
Provider OrganizationNORTH VALLEY COMPOUNDING PHARMACY
Practice Office Address28325 N TATUM BLVD STE 5
CAVE CREEK, AZ US
Practice Office Telephone5035155549
Mailing Address29633 N 45TH ST
CAVE CREEK, AZ 853316272 US
Business Telephone5035155549
Authorized OfficialHIEN THE NGUYEN, OWNER/PHARMACIS
5035155549
HPT Codes
CodeLicense NoState
3336C0004X PRIMARY
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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