Avella Of Grayhawk, Inc.

LBN: Avella Of Grayhawk, Inc.
Avella Of Grayhawk, Inc. is an health care organization with primary practice located at 7336 E Deer Valley Rd Ste 100, Scottsdale AZ 85255-7455. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Avella Of Grayhawk, Inc. can be contacted via phone (480) 538-0699, or through Musil, John D via phone (623) 434-3657.

Contact Information

Primary practice address
7336 E Deer Valley Rd Ste 100 Scottsdale AZ 85255-7455
Phone: (480) 538-0699
Fax: (480) 538-0795
Website:
Map and Directions
Authorized official contact:
Name: Musil, John D
Phone: (623) 434-3657

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X Y005092 Arizona
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1376548016
LBN Legal business name Avella Of Grayhawk, Inc.
DBA Doing business as
Authorized official Musil, John D
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2005
Last updated Apr 30th, 2013 - about 12 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 1376548016 NPPES
Other 0324967 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 557952 NCPDP PROVIDER IDENTIFICATION NUMBER

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