Provider Demographics
NPI:1215918107
Name:SALIBUS UNITED DRUG PHARMACY
Entity type:Organization
Organization Name:SALIBUS UNITED DRUG PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SALIBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-818-3085
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-0068
Mailing Address - Country:US
Mailing Address - Phone:623-583-9431
Mailing Address - Fax:623-583-2044
Practice Address - Street 1:11713 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335
Practice Address - Country:US
Practice Address - Phone:623-583-9431
Practice Address - Fax:623-583-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZY01642333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy