Organization
MED ONE HEALTHCARE LLC
Active
Other names
MED ONE HEALTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MURPHY (PRESIDENT)
(480) 835-9100
Entity
Organization
Contact information
Practice address
2401 W PEORIA AVE, STE 100, PHOENIX, AZ 85029
(480) 835-9100
(480) 835-9104
Mailing address
2401 W PEORIA AVE, STE 100, PHOENIX, AZ 85029
(480) 835-9100
(480) 835-9104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
4009
AZ
332BC3200X
Customized Equipment (DME)
Primary
20031057
AZ
333600000X
Pharmacy
4009
AZ
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0354352
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
849698
—
AZ
Enumeration date
04/07/2006
Last updated
03/07/2023
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