institution
The Fort Defiance Indian Hospital Board, Incorporation
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Fort Defiance, Arizona
NPI 1083937569

The Fort Defiance Indian Hospital Board, Incorporation is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Fort Defiance, AZ. The Fort Defiance Indian Hospital Board, Incorporation practices in Fort Defiance, AZ. The NPI Number for The Fort Defiance Indian Hospital Board, Incorporation is 1083937569 and holds a License No. (Arizona).

The current practice location address for The Fort Defiance Indian Hospital Board, Incorporation is Corner Of Route N12 & N7, Fort Defiance, AZ and can be reached out via phone at 928-729-8000 and via fax at 928-729-8169.

Location: Corner Of Route N12 & N7, Fort Defiance, AZ, 86504-0649
institution
Provider Profile Details
NPI Number
1083937569
Provider Name
The Fort Defiance Indian Hospital Board, Incorporation
Credential
Provider Entity Type
Organization
Address
Corner Of Route N12 & N7, Fort Defiance, AZ, 86504-0649
Phone Number
928-729-8000
Fax Number
928-729-8169
Provider Enumeration Date
03/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0356609 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
Corner Of Route N12 & N7
City
State
Zip
86504
Phone Number
928-729-8000
Fax Number
928-729-8169
person
Provider Business Mailing Address Details
Address
Corner Of Route N12 & N7
City
State
Zip
86504
Phone Number
928-729-8000
Fax Number
928-729-8169
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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