Avella Of Phoenix Ii, Inc.
LBN: Avella Of Phoenix Ii, Inc.
Avella Of Phoenix Ii, Inc. is an health care organization with primary practice located at 5040 N 15Th Ave Ste 102 , Phoenix AZ 85015-3329. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Avella Of Phoenix Ii, Inc. can be contacted via phone (602) 277-3181, or through Musil, John D via phone (623) 434-3657.
Contact Information
Primary practice address
5040 N 15Th Ave Ste 102
Phoenix AZ 85015-3329
Phone: (602) 277-3181
Fax: (602) 277-3418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y005091 | Arizona |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1366447005 |
|---|---|
| LBN Legal business name | Avella Of Phoenix Ii, Inc. |
| DBA Doing business as | |
| Authorized official | Musil, John D |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Sep 11th, 2012 - about 12 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 | 1366447005 | NPPES |
| Other | 0326466 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 630469 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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