<Unavail>

LBN: Banner Family Pharmacy
<Unavail> is an health care organization with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Banner Family Pharmacy can be contacted via phone (480) 412-4250, or through Robles, Evelin via phone (480) 412-4250.

Contact Information

Primary practice address
1400 S Dobson Rd Mesa AZ 85202-4707
Phone: (480) 412-4250
Fax: (480) 412-4252
Website:
Map and Directions
Authorized official contact:
Name: Robles, Evelin
Phone: (480) 412-4250

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X Y005805 Arizona

Profile Details

NPI number 1588092282
LBN Legal business name Banner Family Pharmacy
DBA Doing business as <Unavail>
Authorized official Robles, Evelin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2013
Last updated Jan 31st, 2014 - 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 1588092282 NPPES
Arizona MEDICAID 863491
Arizona Other 2142567

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