NPI 1972701332
Banner Home Care-Arizona
Practice location
- Address
- 525 W Brown Rd STE 1350, Mesa, AZ 85201-3202
- Phone
- (480) 657-1000
- Mailing address
- PO Box 29325, Phoenix, AZ 85038-9325
Authorised official
- Name
- Russell Funk
- Title
- Ceo
- Phone
- (602) 747-4000
Registered specialties (5)
Home Infusion Agency
Primary
Parenteral & Enteral Nutrition Supplies (DME)
Compounding Pharmacy
Home Infusion Therapy Pharmacy
Registry record
- NPI
- 1972701332
- Entity type
- Organization
- NPI issued
- 6 Jul 2007
- Record last updated
- 20 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.