Organization · Type 2 NPI

Banner Health

Clinic Pharmacy · Phoenix, AZ

NPI number 1497848824 Active

Practice location

925 E Mcdowell Rd
Phoenix, AZ 85006-2502

Call (602) 239-4792 Map

Fax (602) 239-6790

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	3146 (AZ)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

61 other providers at this address

Other clinic pharmacy providers in Phoenix

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NPI record

NPI: 1497848824
Entity type: Organization (Type 2)
Issued: Sep 30, 2006
Last updated: Jan 31, 2022
Status: Active

Other names

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Banner Good Samaritan Op Clinic Pharmacy · doing business as
Banner Good Samaritan Op Clinic Pharmacy · doing business as

Authorized official

Dennis Laraway
CFO
(602) 747-4000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497848824

Banner Health's National Provider Identifier is 1497848824, issued on Sep 30, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 31, 2022.