Sierra Pharmacy & Compounding Lab
LBN: Sierra Pharmacy Llc
Sierra Pharmacy & Compounding Lab is an health care organization with primary practice located at 2085 E Fry Blvd , Sierra Vista AZ 85635-2708. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sierra Pharmacy Llc can be contacted via phone (520) 459-0705, or through Roether, Anthony via phone (520) 459-0705.
Contact Information
Primary practice address
2085 E Fry Blvd
Sierra Vista AZ 85635-2708
Phone: (520) 459-0705
Fax: (520) 459-1527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y005507 | Arizona |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1750536512 |
|---|---|
| LBN Legal business name | Sierra Pharmacy Llc |
| DBA Doing business as | Sierra Pharmacy & Compounding Lab |
| Authorized official | Roether, Anthony PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2008 |
| Last updated | Aug 10th, 2016 - about 9 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 | 1750536512 | NPPES |
| Other | 2118393 | PK | |
| MEDICAID | 413129 | PK |
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