Provider Demographics
NPI:1013613975
Name:PHARMASSIST HOLDINGS LLC
Entity Type:Organization
Organization Name:PHARMASSIST HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:602-369-5668
Mailing Address - Street 1:3220 N 38TH ST UNIT 42
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-6318
Mailing Address - Country:US
Mailing Address - Phone:602-369-5668
Mailing Address - Fax:
Practice Address - Street 1:333 W THOMAS RD STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4401
Practice Address - Country:US
Practice Address - Phone:602-274-1140
Practice Address - Fax:602-274-1347
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMASSIST HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy