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Organization
WINSLOW INDIAN HEALTH CARE PHARMACY
Active
Organization
WINSLOW INDIAN HEALTH CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGIL DAVIS CEO (CHEIF EXECUTIVE OFFICE)
(928) 289-4646
Entity
Organization
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-5264
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0324513
NCPDP NUMBER
—
05
—
728701
—
AZ
Enumeration date
05/14/2007
Last updated
09/26/2025
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