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

State of Arizona

Organization Institutional Pharmacy · NPI 1578752762

State of Arizona is an Institutional Pharmacy in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

24601 N 29th Ave
Phoenix, AZ 85083-1165
Phone: (623) 780-1303
Fax: (623) 879-7026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Institutional Pharmacy (primary) Taxonomy 3336I0012X · Licence Y01936 (AZ)

Record details

NPI number1578752762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Williams — Medical Director · (602) 520-1663
Other names Black Canyon School Pharmacy
NPI enumeratedOctober 24, 2007
Last updated in NPPESApril 12, 2016
Mailing address24601 N 29th Ave, Phoenix, AZ 85083-1165

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