Fort Defiance Indian Hosp Pharmacy

LBN: Fort Defiance Indian Hosp Pharmacy
Fort Defiance Indian Hosp Pharmacy is an health care organization with primary practice located at Intersection Of Hwy 12 And Hwy 7 , Fort Defiance AZ 86504. 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 / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Fort Defiance Indian Hosp Pharmacy can be contacted via phone (928) 729-8328, or through Schweitzer, Pamela via phone (602) 364-5277.

Contact Information

Primary practice address
Intersection Of Hwy 12 And Hwy 7 Fort Defiance AZ 86504
Phone: (928) 729-8328
Fax: (928) 729-8348
Website:
Map and Directions
Authorized official contact:
Name: Schweitzer, Pamela PHARMD
Phone: (602) 364-5277

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1669501540
LBN Legal business name Fort Defiance Indian Hosp Pharmacy
DBA Doing business as Fort Defiance Indian Hosp Pharmacy
Authorized official Schweitzer, Pamela PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Jan 29th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669501540 NPPES
Other 0324424 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 66645 NCPDP PROVIDER IDENTIFICATION NUMBER

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