Organization
PALOVERDE HEALTH SERVICES PHARMACY LLC
Active
Organization
PALOVERDE HEALTH SERVICES PHARMACY LLC
Active
Other names
PaloVerde Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN EDWARD PAULL (OWNER/PIC)
(928) 485-4315
Entity
Organization
Contact information
Practice address
18 W CENTER ST, PIMA, AZ 85543-0030
(928) 322-6009
Mailing address
PO BOX 9, PIMA, AZ 85543-0009
(928) 485-4315
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097392
—
AZ
Enumeration date
01/25/2021
Last updated
02/09/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up