Organization
FLAGSTAFF MEDICAL CENTER
Active
Other names
FLAGSTAFF PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COFIELD RPH (CHIEF OPERATING OFFICER)
(928) 773-2010
Entity
Organization
Contact information
Practice address
77 W FOREST AVE, STE 104, FLAGSTAFF, AZ 86001-1479
(928) 773-2565
(928) 214-3899
Mailing address
77 W FOREST AVE, STE 104, FLAGSTAFF, AZ 86001-1479
(928) 773-2565
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y002531
AZ
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192104
—
AZ
01
—
1988959
PK
—
Enumeration date
12/01/2006
Last updated
04/14/2025
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