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BETHANY HOME DISCOUNT PHARMACY LLC NPI 1154975043


NPI Information

NPI: 1154975043
Provider Name: BETHANY HOME DISCOUNT PHARMACY LLC

Doing Business As: BETHANY HOME DISCOUNT PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6601 W BETHANY HOME RD STE A10
GLENDALE, AZ
ZIP 85301
Phone: (623) 440-7717
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BETHANY HOME DISCOUNT PHARMACY LLC is a community/retail pharmacy pharmacy in Glendale, AZ. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BETHANY HOME DISCOUNT PHARMACY LLC NPI is 1154975043. The provider is registered as an organization entity type.
The provider Is Doing Business As Bethany Home Discount Pharmacy.

The provider's business location address is:

6601 W BETHANY HOME RD STE A10
GLENDALE, AZ
ZIP 85301-946
Phone: (623) 440-7717
Fax: (623) 440-7781

The provider's authorized official is Sushmitha Godishala .
The authorized official title is Member and has the following contact phone number (602) 585-2901.

The enumeration date for this NPI number is 7/29/2019 and was last updated on 8/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y008159OTHERARIZONAARIZONA BOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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