Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
Valleywise Comprehensive Healthcare Center - Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S FOWLER (DIRECTOR OF REIMBURSEMENT)
(602) 344-2830
Entity
Organization
Contact information
Practice address
8088 W WHITNEY DR, PEORIA, AZ 85345
(602) 344-5011
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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