Organization
WINSLOW INDIAN HEALTH CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGIL DAVIS CEO (CHEIF EXECUTIVE OFFICE)
(928) 289-4646
Entity
Organization
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-5264
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
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
—
0324513
NCPDP NUMBER
—
05
—
728701
—
AZ
Enumeration date
05/14/2007
Last updated
09/26/2025
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