Provider Demographics
NPI:1801548524
Name:BIRDI, INC.
Entity type:Organization
Organization Name:BIRDI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL, PHARMACY COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-386-8465
Mailing Address - Street 1:PO BOX 51580
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85076-1580
Mailing Address - Country:US
Mailing Address - Phone:856-873-8739
Mailing Address - Fax:888-783-1773
Practice Address - Street 1:8060 S KYRENE RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-2109
Practice Address - Country:US
Practice Address - Phone:855-873-8739
Practice Address - Fax:888-783-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy