Avella Of Chandler, Inc
LBN: Avella Of Chandler, Inc
Avella Of Chandler, Inc is an health care organization with primary practice located at 2155 E Conference Dr Ste 101, Tempe AZ 85284-2604. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Avella Of Chandler, Inc can be contacted via phone (480) 775-4784, or through Musil, John D via phone (623) 434-3657.
Contact Information
Primary practice address
2155 E Conference Dr Ste 101
Tempe AZ 85284-2604
Phone: (480) 775-4784
Fax: (480) 730-9734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y005093 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X | Y005093 | Arizona |
| Suppliers / Specialty Pharmacy | 3336S0011X | Y005093 | Arizona |
Profile Details
| NPI number | 1720083462 |
|---|---|
| LBN Legal business name | Avella Of Chandler, Inc |
| DBA Doing business as | |
| Authorized official | Musil, John D PHARMD |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Apr 30th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720083462 | NPPES |
| Arizona | MEDICAID | 566515 | |
| Arizona | Other | 0324157 |
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