Organization
MARICOPA COUNTY SPECIAL HEALLTH CARE DISTRICT
Active
Other names
Valleywise Community Health Center - West Maryvale Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SOGARD (DIRECTOR OF PHARMACY)
(602) 344-5253
Entity
Organization
Contact information
Practice address
7808 W THOMAS ROAD, PHOENIX, AZ 85033
(602) 344-1338
(602) 344-1163
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20107
—
AZ
Enumeration date
07/01/2021
Last updated
07/01/2021
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