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Fort Defiance Indian Hosp Pharmacy
Pharmacy in Fort Defiance, Arizona
NPI 1669501540

Fort Defiance Indian Hosp Pharmacy is a Pharmacy based in Pasadena, AZ. Fort Defiance Indian Hosp Pharmacy practices in Fort Defiance, AZ. The NPI Number for Fort Defiance Indian Hosp Pharmacy is 1669501540 and holds a License No. (Arizona).

The current practice location address for Fort Defiance Indian Hosp Pharmacy is Intersection Of Hwy 12 And Hwy 7, Fort Defiance, AZ and can be reached out via phone at 928-729-8328 and via fax at 928-729-8348.

Location: Intersection Of Hwy 12 And Hwy 7, Fort Defiance, AZ, 91110-0654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669501540
Provider Name
Fort Defiance Indian Hosp Pharmacy
Credential
Provider Entity Type
Organization
Address
Intersection Of Hwy 12 And Hwy 7, Fort Defiance, AZ, 91110-0654
Phone Number
928-729-8328
Fax Number
928-729-8348
Provider Enumeration Date
03/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0324424 01 NCPDP PROVIDER IDENTIFICATION NUMBER
66645 05 AZ
institution
Provider Business Practice Location Address Details
Address
Intersection Of Hwy 12 And Hwy 7
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8328
Fax Number
928-729-8348
person
Provider Business Mailing Address Details
Address
Intersection Of Hwy 12 And Hwy 7
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
928-729-8328
Fax Number
928-729-8348
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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