Organization
MEDONE HEALTHCARE LLC
Active
Other names
MED ONE HEALTH CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE PAGLIUCA (VP)
(480) 835-9100
Entity
Organization
Contact information
Practice address
2615 S INDUSTRIAL PARK AVE, TEMPE, AZ 85282-1821
(480) 835-9100
(480) 729-6999
Mailing address
PO BOX 24757, TEMPE, AZ 85285-4757
(480) 835-9100
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
Y004906
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151367
—
AZ
01
—
2128061
PK
—
Enumeration date
01/22/2009
Last updated
07/19/2018
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