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NPI Code Detail

MEDICARE: SUNWEST GROUP INC.

MEDICARE: SUNWEST GROUP INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding PharmacyY006477AZ
23336M0002XMail Order PharmacyY006477AZ
33336S0011XSpecialty PharmacyY006477AZ
43336L0003XLong Term Care PharmacyY006477AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881076842
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNWEST GROUP INC.
Provider Business Mailing Address
First Line : 1300 N 12TH ST
Second Line : SUITE 406
City : PHOENIX
State : AZ
Zip : 85006-2848
Country : US
Telephone Number : 602-396-7330
Fax Number : 602-688-8016
Provider Business Practice Location Address
First Line : 1300 N 12TH ST
Second Line : SUITE 406
City : PHOENIX
State : AZ
Zip : 85006-2848
Country : US
Telephone Number : 602-396-7330
Fax Number : 602-688-8016
Authorized Official
Title or Position : PRESIDENT
Name : MRS. NATALIE GANTZ
Credential :
Telephone Number : 602-396-7330
Provider Enumeration Date : 06/25/2015
Last Update Date : 11/02/2015

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Directions to “SUNWEST GROUP INC. ” Practice Location

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