Desert Senita Pharmacy

LBN: Ajo Community Health Center
Desert Senita Pharmacy is an health care organization with primary practice located at 410 N Malacate St , Ajo AZ 85321-2254. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ajo Community Health Center can be contacted via phone (520) 387-5500, or through Hatchard, Jared via phone (520) 683-5588.

Contact Information

Primary practice address
410 N Malacate St Ajo AZ 85321-2254
Phone: (520) 387-5500
Fax: (520) 387-3977
Website:
Map and Directions
Authorized official contact:
Name: Hatchard, Jared PHARMD
Phone: (520) 683-5588

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X Y005218 Arizona
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1164751285
LBN Legal business name Ajo Community Health Center
DBA Doing business as Desert Senita Pharmacy
Authorized official Hatchard, Jared PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2009
Last updated Jan 8th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164751285 NPPES
Arizona MEDICAID 486492
Arizona Other 2122831

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