Provider Demographics
NPI:1902240427
Name:BNR HEALTHCARE CORP
Entity Type:Organization
Organization Name:BNR HEALTHCARE CORP
Other - Org Name:MEDICAL ARTS LTC PHARMACY OF TUCSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEFIM
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:ISKHAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-253-3100
Mailing Address - Street 1:1580 N FIESTA BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-1032
Mailing Address - Country:US
Mailing Address - Phone:480-253-3100
Mailing Address - Fax:480-497-3784
Practice Address - Street 1:3532 E GRANT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2957
Practice Address - Country:US
Practice Address - Phone:480-253-3100
Practice Address - Fax:480-497-3784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy