Abundant Enterprises L.l.c
Pharmacy, Community/Retail Pharmacy in Phoenix, Arizona
1700179801- Practice location
- 1102 W Indian School RD, Ste A, Phoenix, AZ 85013-3107
- Phone
- 602-277-5444
- Fax
- 602-274-8821
- Last updated
- May 23, 2011
Abundant Enterprises L.l.c is a healthcare organization based in Phoenix, AZ. The NPI number for Abundant Enterprises L.l.c is 1700179801 and holds license No. Y005374 (AZ). The current practice location address is 1102 W Indian School RD, Ste A, Phoenix, AZ 85013-3107 and the office can be reached by phone at 602-277-5444 and by fax at 602-274-8821. The NPI was assigned on May 23, 2011 and the record was last updated in NPPES on May 23, 2011.
●Provider Profile Details
- NPI Number
- 1700179801
- Provider Name
- Abundant Enterprises L.l.c
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Olufemi Omodara · Manager · 602-277-5444
- Enumeration Date
- May 23, 2011
- Last Update Date
- May 23, 2011
- NPI Status
- Active
- Other Names
- Grace Rexall Drugs (Doing Business As)
◉Business Practice Location Address
- Address
- 1102 W Indian School RD
Ste A
Phoenix, AZ 85013-3107 - City
- Phoenix
- State
- Arizona
- ZIP
- 85013-3107
- Country
- US
- Phone Number
- 602-277-5444
- Fax Number
- 602-274-8821
✉Business Mailing Address
- Address
- Po Box 5693
Goodyear, AZ 85338-0612 - City
- Goodyear
- State
- AZ
- ZIP
- 85338-0612
- Phone Number
- 602-277-5444
- Fax Number
- 602-274-8821
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | No | — | — |
| Pharmacy | 333600000X | No | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | No | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | Yes | Y005374 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Abundant Enterprises L.l.c?
The NPI number of Abundant Enterprises L.l.c is 1700179801. It was assigned on May 23, 2011 and is currently active in the NPPES registry.
What is the specialty of Abundant Enterprises L.l.c?
Abundant Enterprises L.l.c is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X) and holds license No. Y005374 (AZ).
Where does Abundant Enterprises L.l.c practice?
The practice location is 1102 W Indian School RD, Ste A, Phoenix, AZ 85013-3107. The office can be reached at 602-277-5444 (phone) or 602-274-8821 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700179801 directly on the NPPES registry website at npiregistry.cms.hhs.gov.