National Provider Identifier Database

BANNER HEALTH
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

BANNER HEALTH
925 E MCDOWELL RD
PHOENIX, AZ85006-2502
Phone: 602-239-4792
Fax: 602-239-6790
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for BANNER HEALTH

NPI Number 1497848824
Legal business name
LBN
BANNER HEALTH
Authorized official DENNIS LARAWAY - (CFO)
Entity Organization
Organization subpart No
Enumeration date 09/30/2006
Last updated 01/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 3146
  • Other: 0354441 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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