Organization
GUARDIAN PHARMACY OF ARIZONA, LLC
Active
Other names
Saliba's Extended Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SALIBA (PRESIDENT)
(623) 815-8965
Entity
Organization
Contact information
Practice address
1171 E RANCHO VISTOSO BLVD STE 131, ORO VALLEY, AZ 85755-9101
(623) 815-8965
(480) 355-3006
Mailing address
GUARDIAN PHARMACY OF ARIZONA DEPT 2370, P.O. BOX 11407, BIRMINGHAM, AL 35246-0001
(404) 389-1316
(404) 389-1317
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y005379
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131021
PK
—
05
—
625239
—
AZ
Enumeration date
06/01/2011
Last updated
09/30/2016
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