Provider Demographics
NPI:1891503108
Name:APOTHECO PHARMACY SCOTTSDALE LLC
Entity type:Organization
Organization Name:APOTHECO PHARMACY SCOTTSDALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-869-2820
Mailing Address - Street 1:788 MORRIS TPKE STE 300
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2634
Mailing Address - Country:US
Mailing Address - Phone:973-869-2820
Mailing Address - Fax:
Practice Address - Street 1:7373 N SCOTTSDALE RD STE B160
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-3537
Practice Address - Country:US
Practice Address - Phone:602-898-5450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy