Organization
MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
Active
Other names
VALLEYWISE BEHAVIORAL HEALTH CENTER - MARYVALE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SOGARD (DIRECTOR OF PHARMACY)
(602) 344-5253
Entity
Organization
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(602) 344-5011
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-1309
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
10/24/2019
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