National Provider Identifier Database

AVELLA OF GRAYHAWK INC
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

AVELLA OF GRAYHAWK, INC.
7336 E DEER VALLEY RD
STE 100
SCOTTSDALE, AZ85255-7455
Phone: 480-538-0699
Fax: 480-538-0795
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for AVELLA OF GRAYHAWK, INC.

NPI Number 1376548016
Legal business name
LBN
AVELLA OF GRAYHAWK, INC.
Authorized official JOHN MUSIL - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 06/17/2005
Last updated 04/30/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: Y005092
  • AZ Medicaid: 557952
  • Other: 0324967 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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