Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grand Canyon Acquisition Co LLC

Organization Community/Retail Pharmacy · NPI 1255946562

Grand Canyon Acquisition Co LLC is a Community/Retail Pharmacy in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 E Camelback Rd Ste 112
Phoenix, AZ 85012-1061
Phone: (602) 584-5158
Fax: (646) 934-6409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1255946562
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCapsule Corporation
Authorized official Eric Kinariwala — Sole Manager · (888) 685-9515
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address122 W 146th St, New York, NY 10039-3802

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