Casa Grande Pharmacy Inc, NPI 1386017564
Community/Retail Pharmacy in Casa Grande, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1386017564
NPI Entity Type Organization
Provider Name Casa Grande Pharmacy Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1659 E Florence Blvd Ste 7, Casa Grande, AZ, US
Provider Mailing Address 1659 E Florence Blvd Ste 7, Casa Grande, AZ, US, 851224785
Is Sole Proprietor? No
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Organization Official

Official Name RPH Mohamed Eslam Elmissirey
Official Position OFFICER,PIC,AO
Phone 480-444-6612

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. Y006618
License State AZ
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

Grand Pharmacy
Doing Business As

Business Address

Casa Grande Pharmacy Inc
1659 E Florence Blvd Ste 7

Casa Grande, AZ, US

Phone: 520-518-5720
Fax: 480-371-2757

Mailing Address

Casa Grande Pharmacy Inc
1659 E Florence Blvd Ste 7
Casa Grande, AZ, US
ZIP 851224785
Phone: 520-518-5720
Fax: 480-371-2757

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

3336C0004X

Suppliers

Pharmacy

No

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
083433 AZ MEDICAID 05
2155127 PK 01

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