Paloverde Pharmacy

LBN: Paloverde Health Services Pharmacy Llc
Paloverde Pharmacy is an health care organization with primary practice located at 18 W Center St , Pima AZ 85543-0030. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Paloverde Health Services Pharmacy Llc can be contacted via phone (928) 322-6009, or through Paull, Brian Edward via phone (928) 485-4315.

Contact Information

Primary practice address
18 W Center St Pima AZ 85543-0030
Phone: (928) 322-6009
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paull, Brian Edward
Phone: (928) 485-4315

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1487244323
LBN Legal business name Paloverde Health Services Pharmacy Llc
DBA Doing business as Paloverde Pharmacy
Authorized official Paull, Brian Edward
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2021
Last updated Feb 9th, 2022 - about 2 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 1487244323 NPPES
Arizona MEDICAID 097392

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