Banner Family Pharmacy - Desert

LBN: Banner Pharmacy Services Llc
Banner Family Pharmacy - Desert is an health care organization with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Banner Pharmacy Services Llc can be contacted via phone (480) 412-4250, or through Larraway, Dennis via phone (602) 747-4000.

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: Larraway, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y005805 Arizona

Profile Details

NPI number 1083035117
LBN Legal business name Banner Pharmacy Services Llc
DBA Doing business as Banner Family Pharmacy - Desert
Authorized official Larraway, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2013
Last updated Dec 17th, 2021 - about 4 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 1083035117 NPPES
Arizona MEDICAID 896515
Arizona Other 2145016

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