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Organization

BANNER PHARMACY SERVICES LLC

Active
Parent organization
BANNER HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
BANNER HEALTH
Authorized official
RUSSELL FUNK (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4000
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
01/06/2014
Last updated
04/16/2026
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  • EDI platform