Thumb Butte Pharmacy Llc

LBN: Thumb Butte Pharmacy Llc
Thumb Butte Pharmacy Llc is an health care organization with primary practice located at 3120 Willow Creek Rd # 150 , Prescott AZ 86301-6610. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Thumb Butte Pharmacy Llc can be contacted via phone (928) 237-4006, or through Pezeshki, Pedram via phone (818) 912-0132.

Contact Information

Primary practice address
3120 Willow Creek Rd # 150 Prescott AZ 86301-6610
Phone: (928) 237-4006
Fax: (928) 237-4008
Website:
Map and Directions
Authorized official contact:
Name: Pezeshki, Pedram
Phone: (818) 912-0132

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X Y006909 Arizona

Profile Details

NPI number 1538680269
LBN Legal business name Thumb Butte Pharmacy Llc
DBA Doing business as
Authorized official Pezeshki, Pedram
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2017
Last updated Jun 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538680269 NPPES
Other 2175348 PK
MEDICAID 356158 PK

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