Provider Demographics
NPI:1548776750
Name:ATOZ PHARMACY INC
Entity Type:Organization
Organization Name:ATOZ PHARMACY INC
Other - Org Name:ATOZ PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAWANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-500-1235
Mailing Address - Street 1:8989 E VIA LINDA STE 110
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5407
Mailing Address - Country:US
Mailing Address - Phone:480-500-1235
Mailing Address - Fax:480-500-6368
Practice Address - Street 1:8989 E VIA LINDA STE 110
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5407
Practice Address - Country:US
Practice Address - Phone:480-500-1235
Practice Address - Fax:480-500-6368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY0074633336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZY007463OtherSTATE BOARD OF PHARMACY LICENSE