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Organization
SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
Active
Organization
SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY
Active
Other names
Salt River Integrated Health Care, Salt River Integrated Health Care - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLET MITCHELL-ENOS (DIRECTOR)
(480) 362-5480
Entity
Organization
Contact information
Practice address
10005 E OSBORN RD BLDG 61, SCOTTSDALE, AZ 85256-4019
(480) 946-9227
(480) 278-7186
Mailing address
10005 E OSBORN RD BLDG 61, SCOTTSDALE, AZ 85256-4019
(480) 946-9227
(480) 278-7186
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171598
PK
—
05
—
275266
—
AZ
Enumeration date
04/27/2017
Last updated
03/02/2022
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