Provider Demographics
NPI:1699065797
Name:MED-HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:MED-HEALTH SOLUTIONS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHALER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-466-0117
Mailing Address - Street 1:2734 W BELL RD
Mailing Address - Street 2:STE. 1340
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053
Mailing Address - Country:US
Mailing Address - Phone:623-800-7222
Mailing Address - Fax:623-266-2625
Practice Address - Street 1:2734 W BELL RD
Practice Address - Street 2:STE. 1340
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-7527
Practice Address - Country:US
Practice Address - Phone:623-800-7222
Practice Address - Fax:623-266-2625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X, 3336H0001X, 3336M0002X, 3336S0011X
AZY0065903336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2130620OtherPK
AZ753115Medicaid