Spectrum Pharmacy Of Arizona

LBN: Portable Medical Pharmacy- Arizona
Spectrum Pharmacy Of Arizona is an health care organization with primary practice located at 6150 E Grant Rd , Tucson AZ 85712-5801. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Portable Medical Pharmacy- Arizona can be contacted via phone (520) 296-0317, or through Williams, Robbie D via phone (702) 939-6559.

Contact Information

Primary practice address
6150 E Grant Rd Tucson AZ 85712-5801
Phone: (520) 296-0317
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Robbie D
Phone: (702) 939-6559

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4292 Arizona

Profile Details

NPI number 1164404828
LBN Legal business name Portable Medical Pharmacy- Arizona
DBA Doing business as Spectrum Pharmacy Of Arizona
Authorized official Williams, Robbie D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1164404828 NPPES
Arizona MEDICAID 579055

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