Banner Health
Non-pharmacy Dispensing Site
1300 N 12th St, Suite 520, Phoenix
Arizona, 85006-2848
602-839-4456 Banner Health is a Non-pharmacy Dispensing Site in Phoenix, Arizona. This organization is also known as sub part of Medvantx, Inc.. It is located at 1300 N 12th St, Suite 520, Phoenix and it's customer support contact number is 602-839-4456. The authorized person of Banner Health is Dennis Laraway who is Cfo of the pharmacy and his contact number is 602-747-4000. Active license number of Banner Health is 19036 for Non-pharmacy Dispensing Site in Arizona.
Banner Health is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Banner Health type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Banner Health |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1300 N 12th St, Suite 520, Phoenix,
Arizona, 85006-2848 |
| Phone: | 602-839-4456 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dennis Laraway |
| Position: | Cfo |
| Contact Number: | 602-747-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1588098313 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 28 Aug, 2013 |
| NPI Last Update On: | 31 Jan, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Banner Health are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 19036 | Arizona | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2901 N Central Ave Ste 160,
Phoenix, Arizona |
| Zip: | 85012-2702 |
| Phone Number: | -- |
Patients can reach Banner Health at
1300 N 12th St, Suite 520, Phoenix, Arizona or can
call on customer care at 602-839-4456.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.