Organization
MARIPOSA COMMUNITY HEALTH CENTER, INC
Active
Other names
Mariposa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMY TAYLOR (CHIEF EXECUTIVE OFFICER)
(520) 761-2128
Entity
Organization
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 377-5417
(520) 377-5419
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-2385
(520) 761-2128
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
486359
—
AZ
Enumeration date
11/29/2005
Last updated
02/17/2025
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