Organization
SUNSET COMMUNITY HEALTH CENTER INC
Active
Organization
SUNSET COMMUNITY HEALTH CENTER INC
Active
Other names
SUNSET SAN LUIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROGERS MBA (CEO)
(928) 819-8999
Entity
Organization
Contact information
Practice address
815 E CESAR CHAVEZ BLVD, SAN LUIS, AZ 85349
(928) 373-5757
(928) 627-2768
Mailing address
2060 W 24TH ST, YUMA, AZ 85364-6123
(928) 819-8941
(928) 376-6606
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
4424
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353348
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
083900
—
AZ
Enumeration date
03/21/2006
Last updated
10/12/2020
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