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Contact Information

MEDONE HEALTHCARE LLC
2615 S INDUSTRIAL PARK AVE
TEMPE, AZ85282-1821
 Phone: 480-835-9100
 Fax: 480-729-6999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 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
Indicates primary specialty

NPI Profile & details for MEDONE HEALTHCARE LLC

NPI Number 1467690966
LBN Legal business name MEDONE HEALTHCARE LLC
Authorized official DIANE PAGLIUCA - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2009
Last updated 07/19/2018 - About 8 years ago
Identifiers
AZ License # Y004906
AZ Medicaid 151367
Other 2128061 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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