OrganizationActive
Healthcare Pharmacy LLC
NPI 1710674668 · Specialty Pharmacy · Phoenix, AZ
Provider details
- NPI number
- 1710674668
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ron Gresham, President(602) 704-0044
Specialties & taxonomies
Suppliers
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
Practice location
2320 W Peoria Ave Ste D132-A
Phoenix, AZ 85029-4753
Phone: (602) 704-0044
Fax: (602) 767-5522
Approximate (ZIP-level) locationGet directions
Mailing address
2320 W Peoria Ave Ste D132-A
Phoenix, AZ 85029-4753
Registry dates
- Enumerated
- 2023-04-20
- Last updated
- 2023-04-20
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.