Organization
BANNER HEALTH
Active
Organization
BANNER HEALTH
Active
Parent organization
BANNER HEALTH
Other names
Banner Family Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-5972
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
005299
AZ
Other
Enumeration date
10/07/2010
Last updated
12/23/2021
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