Organization
SUN LIFE FAMILY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BERTSCH (DIRECTOR OF PHARMACY/AO)
(520) 836-3446
Entity
Organization
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122-6011
(520) 381-0363
(520) 381-3237
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
(520) 381-3237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Y00843
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0309383
NCPDP
AZ
05
—
039885-01
—
AZ
Enumeration date
12/11/2006
Last updated
08/02/2024
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