Desert Sky Pharmacy, Llc

LBN: Desert Sky Pharmacy, Llc
Desert Sky Pharmacy, Llc is an health care organization with primary practice located at 6750 W Thunderbird Rd Ste 103 , Peoria AZ 85381-5046. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Desert Sky Pharmacy, Llc can be contacted via phone (623) 209-0870, or through Pham, Tai via phone (623) 209-0870.

Contact Information

Primary practice address
6750 W Thunderbird Rd Ste 103 Peoria AZ 85381-5046
Fax: (623) 209-0872
Website:
Authorized official contact:
Name: Pham, Tai

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1417529041
LBN Legal business name Desert Sky Pharmacy, Llc
DBA Doing business as
Authorized official Pham, Tai
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2021
Last updated Jul 13th, 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 1417529041 NPPES
Arizona MEDICAID 408470

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