Arizona Community Pharmacy

LBN: Arizona Community Pharmacy
Arizona Community Pharmacy is an health care organization with primary practice located at 14100 N 83Rd Ave Ste 160 , Peoria AZ 85381. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Arizona Community Pharmacy can be contacted via phone (623) 230-3194, or through Ilyushenko, Yuliya K via phone (323) 704-5369.

Contact Information

Primary practice address
14100 N 83Rd Ave Ste 160 Peoria AZ 85381
Phone: (623) 230-3194
Fax: (623) 233-1610
Website:
Map and Directions
Authorized official contact:
Name: Ilyushenko, Yuliya K PHARMD
Phone: (323) 704-5369

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Y007643 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X Arizona
Suppliers / Long Term Care Pharmacy 3336L0003X Arizona

Profile Details

NPI number 1467958611
LBN Legal business name Arizona Community Pharmacy
DBA Doing business as
Authorized official Ilyushenko, Yuliya K PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2018
Last updated Jan 14th, 2019 - about 6 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 1467958611 NPPES
Arizona MEDICAID 431832

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