Provider Demographics
NPI:1710408604
Name:PINNACLE PHARMACY 2 INC
Entity type:Organization
Organization Name:PINNACLE PHARMACY 2 INC
Other - Org Name:
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 1:8010 E MCDOWELL RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-3869
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:2017-06-29
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY006861333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy