Organization
CHIRICAHUA COMMUNITY HEALTH CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN P MELK (PHARMACY MANAGER)
(520) 364-6852
Entity
Organization
Contact information
Practice address
335 S OCOTILLO AVENUE, BENSON, AZ 85602
(520) 586-4699
(520) 586-4691
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
Y007570
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401006
—
AZ
Enumeration date
03/07/2018
Last updated
09/01/2021
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