Organization
BETHANY HOME DISCOUNT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSHMITH GODISHALA (MEMBER)
(623) 440-7717
Entity
Organization
Contact information
Practice address
6601 W BETHANY HOME RD STE A10, GLENDALE, AZ 85301-4946
(623) 440-7717
(623) 440-7781
Mailing address
6601 W BETHANY HOME RD STE A10, GLENDALE, AZ 85301-4946
(623) 440-7717
(623) 440-7781
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
09/05/2025
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