Banner Health
Banner Health is a Non-Pharmacy Dispensing Site in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
1300 N 12th St Ste 605Phoenix, AZ 85006-2848
Phone: (602) 839-2668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 45424 (AZ) |
|---|
Record details
| NPI number | 1316358013 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Dennis Laraway — Cfo · (602) 747-4000 |
| Other names | Good Samaritan Medicine Residency 12th St; Good Samaritan Medicine Residency 12th St |
| NPI enumerated | May 15, 2014 |
| Last updated in NPPES | January 31, 2022 |
| Certification date | January 31, 2022 |
| Mailing address | 2901 N Central Ave Ste 160, Phoenix, AZ 85012-2702 |
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