Freedom Pharmacy Of Arizona At Red Mountain

LBN: Freedom Pharmacy Of Arizona At Red Mountain Llc
Freedom Pharmacy Of Arizona At Red Mountain is an health care organization with primary practice located at 8035 E Brown Rd Bldg 4, Ste C, Mesa AZ 85207-3901. 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. Freedom Pharmacy Of Arizona At Red Mountain Llc can be contacted via phone (480) 565-7222, or through Shaler, Chris via phone (480) 993-9646.

Contact Information

Primary practice address
8035 E Brown Rd Bldg 4, Ste C Mesa AZ 85207-3901
Phone: (480) 565-7222
Fax: (480) 499-0396
Website:
Map and Directions
Authorized official contact:
Name: Shaler, Chris
Phone: (480) 993-9646

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y006920 Arizona

Profile Details

NPI number 1982152732
LBN Legal business name Freedom Pharmacy Of Arizona At Red Mountain Llc
DBA Doing business as Freedom Pharmacy Of Arizona At Red Mountain
Authorized official Shaler, Chris
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2016
Last updated Jul 19th, 2018 - about 7 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 1982152732 NPPES
Other 2164187 PK
MEDICAID 238769 PK

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