Provider Demographics
NPI:1811532609
Name:TRANSITION PHARMACY SERVICES, LLC
Entity type:Organization
Organization Name:TRANSITION PHARMACY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-840-9406
Mailing Address - Street 1:5080 N 40TH ST STE 339
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2159
Mailing Address - Country:US
Mailing Address - Phone:602-726-0220
Mailing Address - Fax:480-285-0027
Practice Address - Street 1:5080 N 40TH ST STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2164
Practice Address - Country:US
Practice Address - Phone:602-726-0220
Practice Address - Fax:480-785-0027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITION PHARMACY SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-15
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ086426Medicaid