Grace Rexall Drugs

LBN: Abundant Enterprises L.L.C
Grace Rexall Drugs is an health care organization with primary practice located at 1102 W Indian School Rd Ste A, Phoenix AZ 85013-3107. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Abundant Enterprises L.L.C can be contacted via phone (602) 277-5444, or through Omodara, Olufemi via phone (602) 277-5444.

Contact Information

Primary practice address
1102 W Indian School Rd Ste A Phoenix AZ 85013-3107
Phone: (602) 277-5444
Fax: (602) 274-8821
Website:
Map and Directions
Authorized official contact:
Name: Omodara, Olufemi
Phone: (602) 277-5444

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y005374 Arizona
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1700179801
LBN Legal business name Abundant Enterprises L.L.C
DBA Doing business as Grace Rexall Drugs
Authorized official Omodara, Olufemi
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2011
Last updated May 23rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700179801 NPPES
Other 0357106 NCPDP PROVIDER IDENTIFICATION NUMBER

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