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Organization

DEPARTMENT OF VETERANS AFFAIRS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN NORMAN EICH CPHT (PHARMACY TECH)
(623) 925-4783
Entity
Organization

Contact information

Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
1997 S 172ND AVE, GOODYEAR, AZ 85338-1764
(623) 925-4783

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
T009520
AZ

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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