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BANNER PHARMACY SERVICES LLC NPI 1063881688


NPI Information

NPI: 1063881688
Provider Name: BANNER PHARMACY SERVICES LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 03D2057384

Address:
2800 E AJO WAY
TUCSON, AZ
ZIP 85713
Phone: (520) 874-4062
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BANNER PHARMACY SERVICES LLC is a community/retail pharmacy pharmacy in Tucson, 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 1063881688. The provider is registered as an organization entity type.

The provider's business location address is:

2800 E AJO WAY
TUCSON, AZ
ZIP 85713-204
Phone: (520) 874-4062
Fax: (520) 874-4312

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 CLIA number assigned to this NPI record is 03D2057384 - other - home based primary care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2015 and was last updated on 12/13/2021.


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
13336C0003XPharmacyCommunity/Retail PharmacyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.