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Organization

CANYONLANDS COMMUNITY HEALTH CARE

Active
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Organization

CANYONLANDS COMMUNITY HEALTH CARE

Active
Parent organization
CANYONLANDS COMMUNITY HEALTH CARE
Other names
Canyonlands Healthcare - Palo Verde
Organization subpart
Yes

Provider details

NPI number
Legal business name
CANYONLANDS COMMUNITY HEALTH CARE
Authorized official
HOLLY SMITH (CFO)
(928) 645-9675
Entity
Organization

Contact information

Practice address
18 W CENTER ST, PIMA, AZ 85543-0030
(928) 645-9675
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y010327
LICENSE
AZ
Enumeration date
01/26/2026
Last updated
01/26/2026
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