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Contact Information

SONORAN PHARMACY GROUP INC
4101 WAGON TRAIL AVE
LAS VEGAS, NV89118-4426
 Phone: 702-576-9545
 Fax: 702-946-0353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SONORAN PHARMACY GROUP INC

NPI Number 1285908798
LBN Legal business name SONORAN PHARMACY GROUP INC
Authorized official BLAIR WHITNEY - (GREFFIER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2012
Last updated 11/07/2016 - About 10 years ago
Identifiers
NV License # PH02771
Other 2152490 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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