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DESERT SKY PHARMACY LLC NPI 1508004144


NPI Information

NPI: 1508004144
Provider Name: DESERT SKY PHARMACY, LLC

Doing Business As: DESERT SKY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
6750 W THUNDERBIRD RD STE 103
PEORIA, AZ
ZIP 85381
Phone: (623) 209-0870
Get Directions

DESERT SKY PHARMACY, LLC is a community/retail pharmacy pharmacy in Peoria, 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. DESERT SKY PHARMACY, LLC NPI is 1508004144. The provider is registered as an organization entity type.
The provider Is Doing Business As Desert Sky Pharmacy.

The provider's business location address is:

6750 W THUNDERBIRD RD STE 103
PEORIA, AZ
ZIP 85381-046
Phone: (623) 209-0870
Fax: (623) 209-0872

The provider's authorized official is Tai Pham .
The authorized official title is Owner-pharmacist In Charge and has the following contact phone number (623) 209-0870.

The enumeration date for this NPI number is 2/3/2009 and was last updated on 4/5/2017.


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 PharmacyY005103ARIZONAYes

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
12118934OTHERPK
2408470MEDICAIDARIZONA

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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