OrganizationActive
Afc of Queen Creek, PLLC
NPI 1811328560 · Non-Pharmacy Dispensing Site · San Tan Valley, AZ
Provider details
- NPI number
- 1811328560
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Afc of Queen Creek, PLLC
- Organization subpart
- Yes
- Authorized official
- Nathalie Alfonso, Medical Director(480) 882-9105
- License
- AP4940 (AZ)
Specialties & taxonomies
Suppliers
Practice location
85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9105
Phone: (480) 882-9105
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2013-12-06
- Last updated
- 2013-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.