Organization
WICKENBURG HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER ROSE PHARMD (PHARMACY DIRECTOR)
(928) 684-4980
Entity
Organization
Contact information
Practice address
520 ROSE LN, WICKENBURG, AZ 85390-1447
(928) 684-4980
Mailing address
21106 N GOLD POPPY LN, SURPRISE, AZ 85387-2743
(623) 547-5987
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
BW8158570
AZ
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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