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PALOVERDE HEALTH SERVICES PHARMACY LLC NPI 1487244323


NPI Information

NPI: 1487244323
Provider Name: PALOVERDE HEALTH SERVICES PHARMACY LLC

Doing Business As: PALOVERDE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
18 W CENTER ST
PIMA, AZ
ZIP 85543
Phone: (928) 322-6009
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PALOVERDE HEALTH SERVICES PHARMACY LLC is a community/retail pharmacy pharmacy in Pima, 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. PALOVERDE HEALTH SERVICES PHARMACY LLC NPI is 1487244323. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Paloverde Pharmacy.

The provider's business location address is:

18 W CENTER ST
PIMA, AZ
ZIP 85543-030
Phone: (928) 322-6009

The provider's authorized official is Brian Edward Paull .
The authorized official title is Owner/pic and has the following contact phone number (928) 485-4315.

The enumeration date for this NPI number is 1/25/2021 and was last updated on 2/9/2022.


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
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0004XPharmacyCompounding PharmacyNo
43336C0003XPharmacyCommunity/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
1097392MEDICAIDARIZONA

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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