Organization
LOS NINOS HOSPITAL INC
Active
Other names
LOS NINOS HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TIMMONS (CEO)
(602) 243-4231
Entity
Organization
Contact information
Practice address
2303 E THOMAS RD, PHOENIX, AZ 85016-7827
(602) 954-7311
(602) 954-7355
Mailing address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 243-4231
(602) 323-5988
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
Y004230
AZ
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155128
—
AZ
01
—
1992397
PK
—
05
—
544032
—
AZ
05
—
818552
—
AZ
Enumeration date
08/18/2006
Last updated
04/29/2014
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