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Organization

BANNER PHARMACY SERVICES LLC

Active
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Organization

BANNER PHARMACY SERVICES LLC

Active
Other names
Banner Family Pharmacy-Del E. Webb
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL FUNK (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-6550
(623) 524-6551
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
Y006405
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020432
AZ
01
2152465
PK
Enumeration date
03/26/2015
Last updated
04/17/2026
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