Organization
BANNER FAMILY PHARMACY
Active
Organization
BANNER FAMILY PHARMACY
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS DAHLEN (SR. VP FINANCE)
(602) 747-4000
Entity
Organization
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2378
Mailing address
1441 N 12T ST, PHOENIX, AZ 85006
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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