Chiricahua Pharmacy
LBN: Chiricahua Community Health Centers Inc
Chiricahua Pharmacy is an health care organization with primary practice located at 155 Calle Portal Ste 600 , Sierra Vista AZ 85635-2973. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Chiricahua Community Health Centers Inc can be contacted via phone (520) 515-8678, or through Melk, Jonathan P via phone (520) 364-6852.
Contact Information
Primary practice address
155 Calle Portal Ste 600
Sierra Vista AZ 85635-2973
Phone: (520) 515-8678
Fax: (520) 459-8423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y007321 | Arizona |
Profile Details
| NPI number | 1558882233 |
|---|---|
| LBN Legal business name | Chiricahua Community Health Centers Inc |
| DBA Doing business as | Chiricahua Pharmacy |
| Authorized official | Melk, Jonathan P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | Sep 1st, 2021 - about 3 years 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 | 1558882233 | NPPES |
| Arizona | MEDICAID | 296387 |
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