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ARIZONA COMMUNITY PHARMACY NPI 1467958611


NPI Information

NPI: 1467958611
Provider Name: ARIZONA COMMUNITY PHARMACY
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
14100 N 83RD AVE STE 160
PEORIA, AZ
ZIP 85381
Phone: (623) 230-3194
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ARIZONA COMMUNITY PHARMACY is a long term care pharmacy pharmacy in Peoria, AZ. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ARIZONA COMMUNITY PHARMACY NPI is 1467958611. The provider is registered as an organization entity type.

The provider's business location address is:

14100 N 83RD AVE STE 160
PEORIA, AZ
ZIP 85381
Phone: (623) 230-3194
Fax: (623) 233-1610

The provider's authorized official is Yuliya K Ilyushenko .
The authorized official title is Owner and has the following contact phone number (323) 704-5369.

The enumeration date for this NPI number is 4/4/2018 and was last updated on 1/14/2019.


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
1333600000XPharmacyY007643ARIZONANo
23336C0003XPharmacyCommunity/Retail PharmacyARIZONANo
33336L0003XPharmacyLong Term Care PharmacyARIZONAYes

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
1431832MEDICAIDARIZONA

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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