Organization · Type 2 NPI

Banner Health

Non-Pharmacy Dispensing Site · Sun City, AZ

NPI number 1609287887 Active

Practice location

14416 W Meeker Blvd, Building C Suite 200
Sun City, AZ 85375-5284

Call (623) 876-3971 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	34302 (AZ)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

31 other providers at this address

Other non-pharmacy dispensing site providers in Sun City

See all in Sun City →

NPI record

NPI: 1609287887
Entity type: Organization (Type 2)
Issued: May 9, 2014
Last updated: Jan 31, 2022
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Banner Primary Care Sun City West · doing business as
Banner Primary Care Sun City West · doing business as

Authorized official

Dennis Laraway
CFO
(602) 747-4000

Verify this record

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.

Is this your record? How to update it.

About NPI 1609287887

Banner Health's National Provider Identifier is 1609287887, issued on May 9, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Sun City, AZ. The record was last updated on Jan 31, 2022.