<Unavail>

LBN: Banner Pharmacy Services Llc
<Unavail> is an health care organization with primary practice located at 6644 E Baywood Ave , Mesa AZ 85206-1747. 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) 321-2222, or through Funk, Russell via phone (602) 747-4000.

Contact Information

Primary practice address
6644 E Baywood Ave Mesa AZ 85206-1747
Phone: (480) 321-2222
Fax: (480) 321-2223
Website:
Map and Directions
Authorized official contact:
Name: Funk, Russell
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y006304 Arizona

Profile Details

NPI number 1215327598
LBN Legal business name Banner Pharmacy Services Llc
DBA Doing business as <Unavail>
Authorized official Funk, Russell
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2015
Last updated Apr 15th, 2026 - about 6 months 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 1215327598 NPPES
Arizona MEDICAID 004585
Arizona Other 2150490

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