Provider Demographics
NPI:1457236614
Name:PINNACLE COMPOUNDING PHARMACY
Entity type:Organization
Organization Name:PINNACLE COMPOUNDING PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SHREENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOVANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-692-7033
Mailing Address - Street 1:27018 N 64TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-7416
Mailing Address - Country:US
Mailing Address - Phone:623-692-7033
Mailing Address - Fax:
Practice Address - Street 1:3632 W PINNACLE PEAK RD STE 120-B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-4005
Practice Address - Country:US
Practice Address - Phone:623-692-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy