Provider Demographics
NPI:1891451282
Name:ASPN PHARMACIES 3, LLC
Entity Type:Organization
Organization Name:ASPN PHARMACIES 3, LLC
Other - Org Name:ASPN PHARMACIES 3, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-564-8004
Mailing Address - Street 1:8010 E MCDOWELL RD STE 204-206
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3867
Mailing Address - Country:US
Mailing Address - Phone:973-564-8004
Mailing Address - Fax:973-564-8010
Practice Address - Street 1:8010 E MCDOWELL RD STE 204-206
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3867
Practice Address - Country:US
Practice Address - Phone:973-564-8004
Practice Address - Fax:973-564-8010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPN PHARMACIES , LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-10
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy