Organization
CHINLE HEALTH CARE PHARMACY
Active
Other names
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
NIVEDITA DAS PHARMD (DIRECTOR OF PHARMACY)
(928) 674-7414
Entity
Organization
Contact information
Practice address
OFF HWY 191 HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7042
(928) 674-7463
Mailing address
PO BOX 31001-0651, PASADENA, CA 91110-0651
(928) 674-7042
(928) 674-7463
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0322507
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
21171
—
AZ
Enumeration date
03/05/2007
Last updated
07/24/2024
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