Provider Demographics
NPI:1437282142
Name:ZION'S RX FORMULATIONS
Entity Type:Organization
Organization Name:ZION'S RX FORMULATIONS
Other - Org Name:RX FORMULATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:ALBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:480-854-3100
Mailing Address - Street 1:6047 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-7517
Mailing Address - Country:US
Mailing Address - Phone:480-854-3100
Mailing Address - Fax:480-854-3156
Practice Address - Street 1:6047 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-7517
Practice Address - Country:US
Practice Address - Phone:480-854-3100
Practice Address - Fax:480-854-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ38563336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy