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AVELLA OF CHANDLER, INC

Medical Equipment Supplier Yellow Pages

Tempe, Arizona

Provider NPI: 1720083462

Organization Information:
Organization Name:  AVELLA OF CHANDLER, INC


Practice Location:
2155 E CONFERENCE DR STE 101 TEMPE, AZ 85284 US
Tel: 480-775-4784  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
AZY005093
N3336S0011XSuppliers
Pharmacy
AZY005093
Y3336C0003XSuppliers
Pharmacy
AZY005093

Other Provider Identifiers:

IssuerNumberStateType
566515AZ05
NCPDP032415701
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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