OrganizationActive
Wedgewood Pharmacy LLC
NPI 1124186952 · Compounding Pharmacy · Scottsdale, AZ
Provider details
- NPI number
- 1124186952
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Alejandro Bernal-Angel, Chief Executive Officer, Secretary(973) 307-7154
- License
- NP000022 (PA)
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
7631 E Indian School Road
Suite 105
Scottsdale, AZ 85251
Phone: (800) 331-8272
Fax: (856) 491-4365
Approximate (ZIP-level) locationGet directions
Mailing address
405 Heron Drive
Swedesboro, NJ 08085
Other names (DBA / former)
- Former legal business name
- Diamondback Drugs
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.