Pharmblue Arizona Llc
LBN: Pharmblue Arizona, Llc
Pharmblue Arizona Llc is an health care organization with primary practice located at 1260 S. Campbell Road Suite 1152, Green Valley AZ 85614-0503. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pharmblue Arizona, Llc can be contacted via phone (724) 779-4720, or through Pohl Iii, Joseph via phone (724) 779-4720.
Contact Information
Primary practice address
1260 S. Campbell Road Suite 1152
Green Valley AZ 85614-0503
Phone: (724) 779-4720
Fax: (724) 779-4721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PH00004249 | New Mexico |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y006522 | Arizona |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 31221 | Texas |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1083081343 |
|---|---|
| LBN Legal business name | Pharmblue Arizona, Llc |
| DBA Doing business as | Pharmblue Arizona Llc |
| Authorized official | Pohl Iii, Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2015 |
| Last updated | Dec 14th, 2018 - about 6 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 | 1083081343 | NPPES |
| Arizona | MEDICAID | 096371 | |
| Arizona | MEDICAID | 58207007 | |
| Arizona | Other | 2154800 |
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