Provider Demographics
NPI:1336144716
Name:ARIZONA RESPIRATORY & PHARMACY, INC
Entity Type:Organization
Organization Name:ARIZONA RESPIRATORY & PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:T
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-654-3381
Mailing Address - Street 1:6330 E MAIN ST
Mailing Address - Street 2:STE 3
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-8960
Mailing Address - Country:US
Mailing Address - Phone:480-654-3381
Mailing Address - Fax:480-654-6227
Practice Address - Street 1:6330 E MAIN ST
Practice Address - Street 2:STE 3
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-8960
Practice Address - Country:US
Practice Address - Phone:480-654-3381
Practice Address - Fax:480-654-6227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BX2000X
AZ2864333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0808730001Medicare ID - Type UnspecifiedHME