Organization
DUTCHER ENTERPRISES
Active
Other names
Silver Creek Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ALLEN DUTCHER R.PH. (PRESIDENT)
(928) 536-2044
Entity
Organization
Contact information
Practice address
2841 HIGHWAY 260 #4, OVERGAARD, AZ 85933-2019
(928) 535-6626
(928) 535-6628
Mailing address
2841 HIGHWAY 260 #4, P.O. BOX 2019, OVERGAARD, AZ 85933-2019
(928) 535-6626
(928) 535-6628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2984
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2984
PHARMACY LICENSE
AZ
01
—
438988
AHCCCS NUMBER
AZ
Enumeration date
01/22/2007
Last updated
03/07/2023
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