Organization
FORT MOJAVE HEALTH CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BROWNSTEIN (CHEIF PHARMACIST)
(928) 346-4679
Entity
Organization
Contact information
Practice address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-9686
(928) 346-4679
Mailing address
1607 PLANTATION RD, MOHAVE VALLEY, AZ 86440-9686
(928) 346-4679
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0352283
NCPDP NUMBER
—
Enumeration date
03/13/2007
Last updated
02/10/2025
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