Organization
GILA RIVER HEALTH CARE CORPORATION
Active
Other names
Red Tail Hawk Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GEMBERLING (CEO)
(602) 528-1427
Entity
Organization
Contact information
Practice address
3042 W. QUEEN CREEK ROAD, CHANDLER, AZ 85286
(602) 528-1200
Mailing address
P.O. BOX 38, SACATON, AZ 85147
(602) 528-1200
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
05
—
334582
—
AZ
Enumeration date
11/13/2017
Last updated
11/13/2017
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