Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
VALLEYWISE COMMUNITY HEALTH CENTER - AVONDALE 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 VAN BUREN ST, AVONDALE, AZ 85323-1506
(623) 344-6823
(623) 344-6806
Mailing address
950 E VAN BUREN ST, AVONDALE, AZ 85323-1506
(623) 344-6823
(623) 344-6806
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y004179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155706
—
AZ
01
—
1990727
PK
—
Enumeration date
06/19/2006
Last updated
10/24/2019
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