South Central Pharmacy

LBN: Remgbekor
South Central Pharmacy is an health care organization with primary practice located at 7227 S Central Ave Ste 1080 , Phoenix AZ 85042-5457. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Remgbekor can be contacted via phone (602) 441-3564, or through Omodara, Olufemi via phone (602) 441-3564.

Contact Information

Primary practice address
7227 S Central Ave Ste 1080 Phoenix AZ 85042-5457
Phone: (602) 441-3564
Fax: (602) 441-4838
Website:
Map and Directions
Authorized official contact:
Name: Omodara, Olufemi
Phone: (602) 441-3564

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y007459 Arizona
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1396244976
LBN Legal business name Remgbekor
DBA Doing business as South Central Pharmacy
Authorized official Omodara, Olufemi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2018
Last updated Jul 19th, 2018 - about 8 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 1396244976 NPPES
Other 2176046 PK
MEDICAID 365183 PK

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