Organization
CANYONLANDS COMMUNITY HEALTHCARE
Active
Parent organization
CANYONLANDS COMMUNITY HEALTH CARE
Other names
Canyonlands Healthcare - Duncan
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official
JODI TATE (DIRECTOR OF OPERATIONS)
(928) 645-9675
Entity
Organization
Contact information
Practice address
227 MAIN ST, DUNCAN, AZ 85534-9701
(928) 645-9675
Mailing address
PO BOX 708, DUNCAN, AZ 85534-0708
(928) 645-6620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R000037
STATE OF ARIZONA PHARMACY BOARD
AZ
Enumeration date
10/26/2020
Last updated
06/03/2025
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