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Contact Information

MARY & JOSEPH FOOD AND DRUG COMPANY, LLC
10210 N 32ND ST STE C7
PHOENIX, AZ85028-3826
 Phone: 602-675-0887
 Fax: 602-610-5844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

332800000X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MARY & JOSEPH FOOD AND DRUG COMPANY, LLC

NPI Number 1073006557
LBN Legal business name MARY & JOSEPH FOOD AND DRUG COMPANY, LLC
Authorized official TIMOTHY YOUKHANA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2018
Last updated 10/05/2020 - About 6 years ago
Identifiers
AZ License # Y007596
Other 2178043 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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