Banner Good Samaritan Op Clinic Pharmacy

LBN: Banner Health
Banner Good Samaritan Op Clinic Pharmacy is an health care organization with primary practice located at 925 E Mcdowell Rd , Phoenix AZ 85006-2502. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Banner Health can be contacted via phone (602) 239-4792, or through Laraway, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
925 E Mcdowell Rd Phoenix AZ 85006-2502
Phone: (602) 239-4792
Fax: (602) 239-6790
Website:
Map and Directions
Authorized official contact:
Name: Laraway, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 3146 Arizona

Profile Details

NPI number 1497848824
LBN Legal business name Banner Health
DBA Doing business as Banner Good Samaritan Op Clinic Pharmacy
Authorized official Laraway, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Jan 31st, 2022 - about 3 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 1497848824 NPPES
Other 0354441 NCPDP PROVIDER IDENTIFICATION NUMBER

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