Sunset San Luis Pharmacy

LBN: Sunset Community Health Center Inc
Sunset San Luis Pharmacy is an health care organization with primary practice located at 815 E Cesar Chavez Blvd , San Luis AZ 85349. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Sunset Community Health Center Inc can be contacted via phone (928) 373-5757, or through Rogers, David via phone (928) 819-8999.

Contact Information

Primary practice address
815 E Cesar Chavez Blvd San Luis AZ 85349
Phone: (928) 373-5757
Fax: (928) 627-2768
Website:
Map and Directions
Authorized official contact:
Name: Rogers, David MBA
Phone: (928) 819-8999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 4424 Arizona

Profile Details

NPI number 1376502054
LBN Legal business name Sunset Community Health Center Inc
DBA Doing business as Sunset San Luis Pharmacy
Authorized official Rogers, David MBA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Oct 12th, 2020 - about 4 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 1376502054 NPPES
Other 0353348 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 083900 NCPDP PROVIDER IDENTIFICATION NUMBER

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