Organization
WESTERN REGIONAL MEDICAL CENTER INC
Active
Other names
Western Regional Medical Center Retail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL WRIGHT (PRESIDENT OF PHARMACY SERVICES)
(806) 242-7782
Entity
Organization
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 207-3202
(623) 207-8267
Mailing address
320 S POLK ST STE 200, AMARILLO, TX 79101-1436
(806) 242-7782
(623) 207-8267
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141769
—
AZ
01
—
2118369
PK
—
Enumeration date
10/06/2008
Last updated
03/08/2024
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