Healthcare Pharmacy Llc

LBN: Healthcare Pharmacy Llc
Healthcare Pharmacy Llc is an health care organization with primary practice located at 2320 W Peoria Ave Ste D132-A , Phoenix AZ 85029-4753. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Healthcare Pharmacy Llc can be contacted via phone (602) 704-0044, or through Gresham, Ron via phone (602) 704-0044.

Contact Information

Primary practice address
2320 W Peoria Ave Ste D132-A Phoenix AZ 85029-4753
Phone: (602) 704-0044
Fax: (602) 767-5522
Website:
Map and Directions
Authorized official contact:
Name: Gresham, Ron
Phone: (602) 704-0044

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1710674668
LBN Legal business name Healthcare Pharmacy Llc
DBA Doing business as
Authorized official Gresham, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2023
Last updated Apr 20th, 2023 - about 3 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 1710674668 NPPES
Arizona MEDICAID 155435

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