Avella Of Gilbert, Inc.

LBN: Avella Of Gilbert, Inc.
Avella Of Gilbert, Inc. is an health care organization with primary practice located at 2450 E Guadalupe Rd Ste 110, Gilbert AZ 85234-5116. 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 Gilbert, Inc. can be contacted via phone (480) 633-6934, or through Musil, John D via phone (623) 434-3657.

Contact Information

Primary practice address
2450 E Guadalupe Rd Ste 110 Gilbert AZ 85234-5116
Fax: (480) 633-6974
Website:
Authorized official contact:
Name: Musil, John D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X Y005083 Arizona
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1205831955
LBN Legal business name Avella Of Gilbert, Inc.
DBA Doing business as
Authorized official Musil, John D
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205831955 NPPES
Arizona MEDICAID 698318
Arizona Other 0326721

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