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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306033881 | NPPES |
| Arizona | MEDICAID | 263561 | |
| Arizona | Other | 0355025 |
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