Provider Demographics
NPI:1447598727
Name:ALPHA DIRECT COMPOUNDING
Entity Type:Organization
Organization Name:ALPHA DIRECT COMPOUNDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O/O
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-208-4179
Mailing Address - Street 1:8240 E GELDING DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3651
Mailing Address - Country:US
Mailing Address - Phone:623-208-4179
Mailing Address - Fax:480-718-7484
Practice Address - Street 1:8240 E GELDING DR
Practice Address - Street 2:SUITE 115
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3651
Practice Address - Country:US
Practice Address - Phone:623-208-4179
Practice Address - Fax:480-718-7484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy