Pharmerica

LBN: Goot Nursing Home Pharmacy Inc
Pharmerica is an health care organization with primary practice located at 8826 N 23Rd Ave Suite C-2, Phoenix AZ 85021-4154. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Goot Nursing Home Pharmacy Inc can be contacted via phone (602) 995-1320, or through Brown, Allison L. via phone (502) 630-7429.

Contact Information

Primary practice address
8826 N 23Rd Ave Suite C-2 Phoenix AZ 85021-4154
Phone: (602) 995-1320
Fax: (602) 995-0264
Website:
Map and Directions
Authorized official contact:
Name: Brown, Allison L.
Phone: (502) 630-7429

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Long Term Care Pharmacy 3336L0003X Y02939 Arizona

Profile Details

NPI number 1013942051
LBN Legal business name Goot Nursing Home Pharmacy Inc
DBA Doing business as Pharmerica
Authorized official Brown, Allison L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 11th, 2006
Last updated Feb 13th, 2024 - about 2 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 1013942051 NPPES
Other 0315538 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1013942051 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1013942051 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1017729270001 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 6058574 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 100512163 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1013942051 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 482646 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 200833340A OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0199796 00 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1013942051 OTHER ID NUMBER-COMMERCIAL NUMBER

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