Mayo Clinic Building Phoenix Outpatient Pharmacy

LBN: Mayo Clinic Arizona
Mayo Clinic Building Phoenix Outpatient Pharmacy is an health care organization with primary practice located at 5881 E Mayo Blvd. #1-304, Phoenix AZ 85054-4505. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Mayo Clinic Arizona can be contacted via phone (480) 342-4100, or through Viramontes, Allison via phone (480) 301-9748.

Contact Information

Primary practice address
5881 E Mayo Blvd. #1-304 Phoenix AZ 85054-4505
Fax: (480) 342-4180
Website:
Authorized official contact:
Name: Viramontes, Allison

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X Y006569 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X

Profile Details

NPI number 1255796496
LBN Legal business name Mayo Clinic Arizona
DBA Doing business as Mayo Clinic Building Phoenix Outpatient Pharmacy
Authorized official Viramontes, Allison
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2015
Last updated Aug 1st, 2023 - about last year

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 1255796496 NPPES
Other 2155895 PK

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