SUN VALLEY PHARMACY LLC

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.

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Contact Information

SUN VALLEY PHARMACY LLC

219 W PIMA
GILA BEND, AZ 85353

Phone: 928-927-5300
Fax: 928-927-5299
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for SUN VALLEY PHARMACY LLC

NPI # 1952533556

LBN Legal business name SUN VALLEY PHARMACY LLC

Authorized official HALIM HASSANI - (MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/14/2009

Last updated 11/15/2010 - About 16 years ago

Identifiers

AZ	License #	Y005169
AZ	Medicaid	470280
	Other	0356293	NCPDP PROVIDER IDENTIFICATION NUMBER

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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