Arizona State Hospital Pharmacy

LBN: State Of Arizona
Arizona State Hospital Pharmacy is an health care organization with primary practice located at 2500 E Van Buren St , Phoenix AZ 85008-6037. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. State Of Arizona can be contacted via phone (602) 220-6060, or through Holladay, Kelly via phone (602) 220-6060.

Contact Information

Primary practice address
2500 E Van Buren St Phoenix AZ 85008-6037
Phone: (602) 220-6060
Fax: (602) 220-6194
Website:
Map and Directions
Authorized official contact:
Name: Holladay, Kelly PHARMD
Phone: (602) 220-6060

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X Y000486 Arizona

Profile Details

NPI number 1538170162
LBN Legal business name State Of Arizona
DBA Doing business as Arizona State Hospital Pharmacy
Authorized official Holladay, Kelly PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 19th, 2018 - about 8 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 1538170162 NPPES
Other 1988000 PK

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