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Organization
PHOENIX INDIAN MEDICAL CENTER
Active
Organization
PHOENIX INDIAN MEDICAL CENTER
Active
Other names
INDIAN PUBLIC HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VELLIYAH ELLEN CRAIG RPH (PHARMACIST)
(602) 263-1200
Entity
Organization
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 296-4750
(602) 263-1621
Mailing address
6414 S 26TH AVE, PHOENIX, AZ 85041-5365
(602) 296-4750
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
RP00005927
NM
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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