Valleywise Community Health Center - Glendale Pharmacy
LBN: Maricopa County Special Health Care District
Valleywise Community Health Center - Glendale Pharmacy is an health care organization with primary practice located at 5141 W Lamar Rd , Glendale AZ 85301-3423. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Maricopa County Special Health Care District can be contacted via phone (623) 344-6720, or through Sogard, Anna via phone (602) 344-5253.
Contact Information
Primary practice address
5141 W Lamar Rd
Glendale AZ 85301-3423
Phone: (623) 344-6720
Fax: (623) 344-6706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y004183 | Arizona |
Profile Details
| NPI number | 1710922927 |
|---|---|
| LBN Legal business name | Maricopa County Special Health Care District |
| DBA Doing business as | Valleywise Community Health Center - Glendale Pharmacy |
| Authorized official | Sogard, Anna |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Oct 24th, 2019 - about 5 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 | 1710922927 | NPPES |
| Other | 1997579 | PK | |
| MEDICAID | 157174 | PK |
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