Organization
AZBDBR, LLC
Active
Other names
Biotek Remedys West
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITANYA GADDE (AUTHORIZED OFFICIAL)
(302) 507-6852
Entity
Organization
Contact information
Practice address
816 N 6TH AVE, PHOENIX, AZ 85003-1318
(844) 482-2005
(602) 601-7692
Mailing address
816 N 6TH AVE, PHOENIX, AZ 85003-1318
(844) 482-2005
(602) 601-7692
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359149
—
AZ
01
—
7781430001
MEDICARE
—
01
—
Y009480
LICENSE
AZ
Enumeration date
12/22/2017
Last updated
09/19/2025
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