Organization
PAGE HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
501 N NAVAJO, PAGE, AZ 86040-1447
(928) 645-2424
(928) 645-0154
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
(602) 747-4000
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
1497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0308797
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/14/2007
Last updated
12/22/2021
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