Banner Family Pharmacy-Univ. Med. Institute 1441

LBN: Banner Pharmacy Services Llc
Banner Family Pharmacy-Univ. Med. Institute 1441 is an health care organization with primary practice located at 1441 N 12Th St , Phoenix AZ 85006-2837. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Banner Pharmacy Services Llc can be contacted via phone (602) 521-5000, or through Laraway, Dennis via phone (602) 747-4000.

Contact Information

Primary practice address
1441 N 12Th St Phoenix AZ 85006-2837
Phone: (602) 521-5000
Fax: (602) 521-5010
Website:
Map and Directions
Authorized official contact:
Name: Laraway, Dennis
Phone: (602) 747-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y006870 Arizona
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1902256092
LBN Legal business name Banner Pharmacy Services Llc
DBA Doing business as Banner Family Pharmacy-Univ. Med. Institute 1441
Authorized official Laraway, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2016
Last updated Dec 17th, 2021 - 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 1902256092 NPPES
Other 2160984 PK
MEDICAID 178558 PK

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