OrganizationActive
Banner Health
NPI 1609287887 · Non-Pharmacy Dispensing Site · Sun City, AZ
Provider details
- NPI number
- 1609287887
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
- License
- 34302 (AZ)
Specialties & taxonomies
Suppliers
Practice location
14416 W Meeker Blvd
Building C Suite 200
Sun City, AZ 85375-5284
Phone: (623) 876-3971
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other names (DBA / former)
- Doing business as
- Banner Primary Care Sun City West
- Doing business as
- Banner Primary Care Sun City West
Registry dates
- Enumerated
- 2014-05-09
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.