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CASA GRANDE PHARMACY INC NPI 1386017564


NPI Information

NPI: 1386017564
Provider Name: CASA GRANDE PHARMACY INC

Doing Business As: GRAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1659 E FLORENCE BLVD STE 7
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 518-5720
Get Directions

CASA GRANDE PHARMACY INC is a community/retail pharmacy pharmacy in Casa Grande, 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. CASA GRANDE PHARMACY INC NPI is 1386017564. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Pharmacy.

The provider's business location address is:

1659 E FLORENCE BLVD STE 7
CASA GRANDE, AZ
ZIP 85122-785
Phone: (520) 518-5720
Fax: (480) 371-2757

The provider's authorized official is Mohamed Eslam Elmissirey .
The authorized official title is Officer,pic,ao and has the following contact phone number (480) 444-6612.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 2/11/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyY006618ARIZONAYes

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
1083433MEDICAIDARIZONA
22155127OTHERPK

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: 11/14/2023

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