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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164751285 | NPPES |
| Arizona | MEDICAID | 486492 | |
| Arizona | Other | 2122831 |
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