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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