Organization
PHARMBLUE ARIZONA, LLC
Active
Organization
PHARMBLUE ARIZONA, LLC
Active
Other names
PharmBlue Arizona LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH POHL III (CHIEF EXECUTIVE OFFICER)
(724) 779-4720
Entity
Organization
Contact information
Practice address
1260 S. CAMPBELL ROAD, SUITE 1152, GREEN VALLEY, AZ 85614-0503
(724) 779-4720
(724) 779-4721
Mailing address
1260 S. CAMPBELL ROAD, SUITE 1152, GREEN VALLEY, AZ 85614-0503
(724) 779-4720
(724) 779-4721
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00004249
NM
3336C0003X
Community/Retail Pharmacy
Primary
Y006522
AZ
3336L0003X
Long Term Care Pharmacy
31221
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096371
—
AZ
01
—
2154800
PK
—
05
—
58207007
—
NM
Enumeration date
08/21/2015
Last updated
12/14/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up