Organization
TON SANTA ROSA HEALTH CENTER
Active
Other names
TON SANTA ROSA HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA GERONIMO (CHIEF EXECUTIVE OFFICER)
(520) 383-7200
Entity
Organization
Contact information
Practice address
FEDERAL ROUTE 15, MILEPOST 12, SELLS, AZ 85634
(520) 361-2403
Mailing address
PO BOX 31001-0663, PASADENA, CA 91110-0663
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
05
—
02057901
—
AZ
01
—
1991503
PK
—
Enumeration date
06/12/2006
Last updated
11/19/2024
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