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Organization

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Active
Other names
VALLEYWISE COMMUNITY HEALTH CENTER - SOUTH PHOENIX PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA SOGARD (DIRECTOR OF PHARMACY)
(602) 344-5253
Entity
Organization

Contact information

Practice address
33 W TAMARISK ST, PHOENIX, AZ 85041-2422
(602) 344-6466
(602) 344-6406
Mailing address
33 W TAMARISK ST, PHOENIX, AZ 85041-2422
(602) 344-6466
(602) 344-6406

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
Y004189
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
155813
AZ
01
1997589
PK
Enumeration date
08/10/2006
Last updated
10/24/2019
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