| NPI | 1598867996 |
|---|---|
| Doing Business As | BANNER GOOD SAMARITAN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: AZ Y03147) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-01-31 |