M D Pharmacy

LBN: Maryvale Pharmacy Inc
M D Pharmacy is an health care organization with primary practice located at 4700 N 51St Ave Ste 1 , Phoenix AZ 85031-1237. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maryvale Pharmacy Inc can be contacted via phone (623) 846-1888, or through Bates, Richard via phone (623) 846-1888.

Contact Information

Primary practice address
4700 N 51St Ave Ste 1 Phoenix AZ 85031-1237
Phone: (623) 846-1888
Fax: (623) 848-8202
Website:
Map and Directions
Authorized official contact:
Name: Bates, Richard BS CHE BSPHARM
Phone: (623) 846-1888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y002881 Arizona
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1669483236
LBN Legal business name Maryvale Pharmacy Inc
DBA Doing business as M D Pharmacy
Authorized official Bates, Richard BS CHE BSPHARM
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 8th, 2016 - about 10 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 1669483236 NPPES
Other 1997277 PK
MEDICAID 380379 PK

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