Organization
PHOENIX INDIAN MEDICAL CENTER
Active
Other names
INDIAN PUBLIC HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VELLIYAH ELLEN CRAIG RPH (PHARMACIST)
(602) 263-1200
Entity
Organization
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 296-4750
(602) 263-1621
Mailing address
6414 S 26TH AVE, PHOENIX, AZ 85041-5365
(602) 296-4750
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
RP00005927
NM
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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