Organization
GUARDIAN PHARMACY OF ARIZONA, LLC
Active
Other names
Salibas Extended Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D SALIBA RPH (PRESIDENT)
(623) 815-8965
Entity
Organization
Contact information
Practice address
925 E COVEY LN, PHOENIX, AZ 85024-5674
(623) 815-8965
(623) 815-1222
Mailing address
GUARDIAN PHARMACY OF ARIZONA DEPT 2370, P.O. BOX 11407, BIRMINGHAM, AL 35246-2370
(404) 810-0089
(404) 810-0094
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
Y03869
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
478934
—
AZ
01
—
Z90476
MEDICARE MASS IMMUNIZATION
AZ
Enumeration date
10/26/2005
Last updated
05/24/2021
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