Organization
DIGNITY HEALTH
Active
Other names
St. Joseph's McAuley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY JACKSON (CHIEF FINANCIAL OFFICER)
(602) 406-4618
Entity
Organization
Contact information
Practice address
500 W THOMAS RD STE 190, PHOENIX, AZ 85013
(602) 406-3970
(602) 406-7145
Mailing address
SJHMC LOCKBOX, ATTN: GEN ACCTING FILE 57431, LOS ANGELES, CA 90074-8781
(602) 406-3970
(602) 406-7145
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y003472
AZ
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034603
—
AZ
01
—
1988265
PK
—
Enumeration date
06/22/2006
Last updated
09/04/2018
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