Grand Pharmacy
LBN: Casa Grande Pharmacy Inc
Grand Pharmacy is an health care organization with primary practice located at 1659 E Florence Blvd Ste 7 , Casa Grande AZ 85122-4785. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Casa Grande Pharmacy Inc can be contacted via phone (520) 518-5720, or through Elmissirey, Mohamed Eslam via phone (480) 444-6612.
Contact Information
Primary practice address
1659 E Florence Blvd Ste 7
Casa Grande AZ 85122-4785
Phone: (520) 518-5720
Fax: (480) 371-2757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y006618 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1386017564 |
|---|---|
| LBN Legal business name | Casa Grande Pharmacy Inc |
| DBA Doing business as | Grand Pharmacy |
| Authorized official | Elmissirey, Mohamed Eslam RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2015 |
| Last updated | Feb 11th, 2016 - about 8 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 | 1386017564 | NPPES |
| Arizona | MEDICAID | 083433 | |
| Arizona | Other | 2155127 |
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