Organization
FORT DEFIANCE INDIAN HOSP PHARMACY
Active
Other names
FORT DEFIANCE INDIAN HOSP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SCHWEITZER PHARMD (IHS PHARMACY CONSULTANT)
(602) 364-5277
Entity
Organization
Contact information
Practice address
INTERSECTION OF HWY 12 AND HWY 7, FORT DEFIANCE, AZ 86504
(928) 729-8328
(928) 729-8348
Mailing address
PO BOX 31001-0654, PASADENA, CA 91110-0654
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0324424
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
66645
—
AZ
Enumeration date
03/05/2007
Last updated
01/29/2010
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