Organization
COMMUNITY HOSPITAL ASSOCIATION, INC.
Active
Other names
Wickenburg Community Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TAVARY (CEO)
(928) 684-5421
Entity
Organization
Contact information
Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-4380
Mailing address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-4382
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
649577
—
AZ
Enumeration date
09/28/2020
Last updated
09/28/2020
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