Black Canyon School Pharmacy

LBN: State Of Arizona
Black Canyon School Pharmacy is an health care organization with primary practice located at 24601 N 29Th Ave , Phoenix AZ 85083-1165. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. State Of Arizona can be contacted via phone (623) 780-1303, or through Williams, Ronald via phone (602) 520-1663.

Contact Information

Primary practice address
24601 N 29Th Ave Phoenix AZ 85083-1165
Phone: (623) 780-1303
Fax: (623) 879-7026
Website:
Map and Directions
Authorized official contact:
Name: Williams, Ronald
Phone: (602) 520-1663

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X Y01936 Arizona

Profile Details

NPI number 1578752762
LBN Legal business name State Of Arizona
DBA Doing business as Black Canyon School Pharmacy
Authorized official Williams, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Apr 12th, 2016 - 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 1578752762 NPPES
Other 1988966 PK

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