Organization
STATE OF ARIZONA
Active
Other names
BLACK CANYON SCHOOL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WILLIAMS (MEDICAL DIRECTOR)
(602) 520-1663
Entity
Organization
Contact information
Practice address
24601 N 29TH AVE, PHOENIX, AZ 85083-1165
(623) 780-1303
(623) 879-7026
Mailing address
24601 N 29TH AVE, PHOENIX, AZ 85083-1165
(623) 780-1303
(623) 879-7026
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
Y01936
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1988966
PK
—
Enumeration date
10/24/2007
Last updated
04/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us