Organization
BNR HEALTHCARE CORP
Active
Other names
Medical Arts Long Term Care Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
FRED ISKHAKOV (PRESIDENT)
(480) 253-3100
Entity
Organization
Contact information
Practice address
2222 S DOBSON RD BLDG 9, MESA, AZ 85202-6481
(480) 253-3100
(480) 497-3784
Mailing address
2222 S DOBSON RD BLDG 9, MESA, AZ 85202-6481
(480) 253-3100
(480) 497-3784
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y005662
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141474
PK
—
Enumeration date
04/23/2010
Last updated
07/18/2024
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