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Organization

WESTERN REGIONAL MEDICAL CENTER INC. HOSPITAL PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRYSTAL L HICKS PHARM D (DIRECTOR OF PHARMACY)
(602) 810-0771
Entity
Organization

Contact information

Practice address
12725 W INDIAN SCHOOL RD STE C105, AVONDALE, AZ 85392-9523
(602) 810-0771
Mailing address
14200 W. FILLMORE ST, GOODYEAR, AZ 85338

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Y005026
AZ
3336I0012X
Institutional Pharmacy
Primary
Y005026
AZ

Other

Enumeration date
09/30/2008
Last updated
10/02/2008
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