Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
VALLEYWISE COMMUNITY HEALTH CENTER - MESA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SOGARD (DIRECTOR OF PHARMACY)
(602) 344-5253
Entity
Organization
Contact information
Practice address
950 E MAIN ST, MESA, AZ 85203-8820
(602) 655-6205
(602) 655-9625
Mailing address
950 E MAIN ST, MESA, AZ 85203-8820
(602) 655-6205
(602) 655-9625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Y004186
AZ
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176157
—
AZ
01
—
1997583
PK
—
Enumeration date
06/19/2006
Last updated
03/07/2023
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