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BANNER PHARMACY SERVICES LLC NPI 1851785968


NPI Information

NPI: 1851785968
Provider Name: BANNER PHARMACY SERVICES LLC

Doing Business As: BANNER FAMILY PHARMACY-CASA GRANDE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1800 E FLORENCE BLVD
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 381-6400
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BANNER PHARMACY SERVICES LLC 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. BANNER PHARMACY SERVICES LLC NPI is 1851785968. The provider is registered as an organization entity type.
The provider Is Doing Business As Banner Family Pharmacy-casa Grande.

The provider's business location address is:

1800 E FLORENCE BLVD
CASA GRANDE, AZ
ZIP 85122-303
Phone: (520) 381-6400
Fax: (520) 381-6618

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 12/17/2021.


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 PharmacyY006419ARIZONAYes

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
12155862OTHERPK
2097818MEDICAIDARIZONA

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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