Community Pharmacy Ii

LBN: Community Drugstore Ii Llc
Community Pharmacy Ii is an health care organization with primary practice located at 777 W Southern Ave 415, Mesa AZ 85210-5008. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Community Drugstore Ii Llc can be contacted via phone (480) 464-5472, or through Gubernick, Joanna via phone (602) 468-6337.

Contact Information

Primary practice address
777 W Southern Ave 415 Mesa AZ 85210-5008
Phone: (480) 464-5472
Fax: (480) 464-5485
Website:
Map and Directions
Authorized official contact:
Name: Gubernick, Joanna
Phone: (602) 468-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y004893 Arizona
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1306033881
LBN Legal business name Community Drugstore Ii Llc
DBA Doing business as Community Pharmacy Ii
Authorized official Gubernick, Joanna
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2007
Last updated Apr 23rd, 2010 - about 16 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 1306033881 NPPES
Arizona MEDICAID 263561
Arizona Other 0355025

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