National Provider Identifier Database

MAYO CLINIC ARIZONA
Community/Retail Pharmacy

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.


Contact Information

MAYO CLINIC ARIZONA
5881 E MAYO BLVD
# STE 1-304
PHOENIX, AZ85054-4505
Phone: 480-342-4100
Fax: 480-342-4180
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X
Institutional Pharmacy 3336I0012X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for MAYO CLINIC ARIZONA

NPI Number 1255796496
Legal business name
LBN
MAYO CLINIC ARIZONA
Authorized official ROSHANAK DIDEHBAN - (CAO)
Entity Organization
Organization subpart No
Enumeration date 12/15/2015
Last updated 08/11/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: Y006569
  • Other: 2155895 PK

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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