NPI

Banner Pharmacy Services LLC

Doing business as Banner Family Pharmacy - Desert. Phone (480) 412-4250 · Fax (480) 412-4252 · NPI 1083035117

Read from the NPPES registry on October 24, 2026.

Banner Family Pharmacy - Desert pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2013-12-16
Last updated
2026-04-15

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Specialties

Licenses

License AZ
Y005805

Location

Practice location
1400 S Dobson Rd
City
Mesa AZ
Postal code
85202-4707
Phone
(480) 412-4250
Fax
(480) 412-4252

Organization contact

Name
Russell Funk
Title
CEO
Phone
(602) 747-4000

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Pharmacy, Community/Retail Pharmacy providers in Mesa, AZ. 73 with this primary taxonomy in the public file.

Other NPIs in Mesa, AZ. 13,450 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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