Organization
EL RIO HEALTH CENTER PHARMACY
Active
Parent organization
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
Other names
El Rio Santa Cruz Neighborhood Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER, INC
Authorized official
CLINTON G KUNTZ (CEO)
(520) 601-0607
Entity
Organization
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3724
(520) 670-3842
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3724
(520) 670-3842
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
Y00805
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0306957
NCPDP
AZ
01
—
306341
AHCCCS ID NUMBER
AZ
01
—
Y00805
PHARMACY PERMIT
AZ
Enumeration date
12/23/2005
Last updated
04/23/2025
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