Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
VALLEYWISE COMPREHENSIVE HEALTH CENTER - 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
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1064
(602) 344-1066
Mailing address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1064
(602) 344-1066
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y004181
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161232
—
AZ
01
—
1989614
PK
—
Enumeration date
06/19/2006
Last updated
10/24/2019
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