institution
Dhhs Ihs Phoenix Area
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Polacca, Arizona
NPI 1376678946

Dhhs Ihs Phoenix Area is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Pasadena, AZ. Dhhs Ihs Phoenix Area practices in Polacca, AZ. The NPI Number for Dhhs Ihs Phoenix Area is 1376678946 and holds a License No. (Arizona).

The current practice location address for Dhhs Ihs Phoenix Area is Hwy 264 Mile Marker 388, Polacca, AZ and can be reached out via phone at 928-737-6195 and via fax at 928-737-6332.

Location: Hwy 264 Mile Marker 388, Polacca, AZ, 91110-0704
institution
Provider Profile Details
NPI Number
1376678946
Provider Name
Dhhs Ihs Phoenix Area
Credential
Provider Entity Type
Organization
Address
Hwy 264 Mile Marker 388, Polacca, AZ, 91110-0704
Phone Number
928-737-6195
Fax Number
928-737-6332
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1990665 01 PK
02052901 05 AZ
institution
Provider Business Practice Location Address Details
Address
Hwy 264 Mile Marker 388
City
State
Zip
86042
Phone Number
928-737-6195
Fax Number
928-737-6332
person
Provider Business Mailing Address Details
Address
Hwy 264 Mile Marker 388
City
State
Zip
86042
Phone Number
928-737-6195
Fax Number
928-737-6332
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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