Organization
BANNER PHARMACY SERVICES LLC
Active
Other names
Banner Family Pharmacy - New River Trails
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL FUNK (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
7701 W ASPERA BLVD STE 103, GLENDALE, AZ 85308-7935
(623) 248-2000
(623) 707-4814
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
04/16/2026
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