Flagstaff Pharmacy
LBN: Flagstaff Medical Center
Flagstaff Pharmacy is an health care organization with primary practice located at 77 W Forest Ave Ste 104, Flagstaff AZ 86001-1479. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Flagstaff Medical Center can be contacted via phone (928) 773-2565, or through Valle, Yari via phone (928) 214-3663.
Contact Information
Primary practice address
77 W Forest Ave Ste 104
Flagstaff AZ 86001-1479
Phone: (928) 773-2565
Fax: (928) 214-3899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y002531 | Arizona |
| Suppliers / Institutional Pharmacy | 3336I0012X |
Profile Details
| NPI number | 1649348442 |
|---|---|
| LBN Legal business name | Flagstaff Medical Center |
| DBA Doing business as | Flagstaff Pharmacy |
| Authorized official | Valle, Yari RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Mar 29th, 2017 - about 7 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 | 1649348442 | NPPES |
| Arizona | MEDICAID | 192104 | |
| Arizona | Other | 1988959 |
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