Healthcare Provider Details

I. General information

NPI: 1093752982
Provider Name (Legal Business Name): SALIBA'S SKILLED CARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 01/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W BEHREND DR SUITE 69
PHOENIX AZ
85027-4146
US

IV. Provider business mailing address

2501 W BEHREND DR STE 69
PHOENIX AZ
85027-4149
US

V. Phone/Fax

Practice location:
  • Phone: 623-587-5425
  • Fax: 623-587-5715
Mailing address:
  • Phone: 623-587-5425
  • Fax: 623-587-5715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberY04372
License Number StateAZ

VIII. Authorized Official

Name: JOHN SALIBA
Title or Position: PRESIDENT
Credential:
Phone: 623-815-8965