Organization
BANNER PHARMACY SERVICES LLC
Active
Organization
BANNER PHARMACY SERVICES LLC
Active
Parent organization
BANNER HEALTH
Other names
Banner Family Pharmacy Baywood
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 321-2222
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
12/17/2021
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