Pimc Pharmacy
LBN: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Pimc Pharmacy is an health care organization with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty.
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm can be contacted via phone (602) 263-1200, or through Tillman, Laura A via phone (602) 263-1567.
Contact Information
Primary practice address
4212 N 16Th St
Phoenix AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | AZS07912 | Arizona |
Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
NPI number | 1801900766 |
---|---|
LBN Legal business name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
DBA Doing business as | Pimc Pharmacy |
Authorized official | Tillman, Laura A Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 18th, 2006 |
Last updated | May 19th, 2023 - about last year |
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 | 1801900766 | NPPES |
Other | 0324602 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
MEDICAID | 022062 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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