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Contact Information

MEDCO AT HOME LLC
14811 N KIERLAND BLVD
STE 100 RM 109
SCOTTSDALE, AZ85254-2729
 Phone: 480-368-5005
 Fax: 480-368-5040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEDCO AT HOME LLC

NPI Number 1225201932
LBN Legal business name MEDCO AT HOME LLC
Authorized official LISA CANNONE - (SENIORDIRECTOR, LICENSING)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2008
Last updated 01/28/2013 - About 13 years ago
Identifiers
AZ License # Y004924
Other 0355304 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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