Provider Demographics
NPI:1780069351
Name:PINNACLE PHARMACY, INC.
Entity type:Organization
Organization Name:PINNACLE PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LEGAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPROWLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-892-4250
Mailing Address - Street 1:17250 N HARTFORD DR.
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5432
Mailing Address - Country:US
Mailing Address - Phone:602-892-4250
Mailing Address - Fax:844-402-1134
Practice Address - Street 1:17255 N 82ND ST.
Practice Address - Street 2:SUITE 130
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5456
Practice Address - Country:US
Practice Address - Phone:602-892-4250
Practice Address - Fax:844-402-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2018-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY006521333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy