Organization
COMMUNITY HOSPITAL ASSOCIATION, INC.
Active
Parent organization
COMMUNITY HOSPITAL ASSOCIATION, INC.
Other names
Congress Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL ASSOCIATION, INC.
Authorized official
CHERYL ANNE BROUMEL (CLINIC RESOURCE MANAGER)
(928) 668-1845
Entity
Organization
Contact information
Practice address
26750B S. SANTA FE RD., CONGRESS, AZ 85332
(928) 668-5421
Mailing address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 668-5502
(928) 427-6369
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
950240
—
AZ
Enumeration date
06/04/2019
Last updated
06/04/2019
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